Organization
LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BAGDASARIAN (CEO)
(818) 409-0105
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE STE 107, RIVERSIDE, CA 92501-4006
(951) 276-2760
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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