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Organization
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Active
Organization
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BAGDASARIAN DO (PARTNER)
(818) 696-6994
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 619-4974
(818) 279-0818
Mailing address
541 W COLORADO ST STE 320, GLENDALE, CA 91204-3646
(818) 696-6994
(818) 279-0818
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
11/16/2023
Last updated
04/17/2024
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