# LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730954066
- **Authorized official:** BORIS BAGDASARIAN DO (PARTNER)
- **Authorized official phone:** (818) 696-6994

## Contact information

- **Practice address:** 11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
- **Practice address phone:** (714) 619-4974
- **Practice address fax:** (818) 279-0818
- **Mailing address:** 541 W COLORADO ST STE 320, GLENDALE, CA 91204-3646
- **Mailing address phone:** (818) 696-6994
- **Mailing address fax:** (818) 279-0818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 04/17/2024