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
15211 VANOWEN ST STE 300, VAN NUYS, CA 91405-3617
(323) 910-4060
(844) 292-1565
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
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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