# LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1952516627
- **Authorized official:** DR. BORIS BAGDASARIAN D.O. (PARTNER)
- **Authorized official phone:** (818) 696-6994

## Contact information

- **Practice address:** 1505 WILSON TER STE 200, GLENDALE, CA 91206-4073
- **Practice address phone:** (323) 910-4060
- **Practice address fax:** (818) 279-0818
- **Mailing address:** 1505 WILSON TER STE 210, GLENDALE, CA 91206-4074
- **Mailing address phone:** (818) 696-6994
- **Mailing address fax:** (844) 292-1565

## 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:** 05/14/2007
- **Last updated:** 04/17/2024