Organization
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS BAGDASRIAN D.O. (PARTNER)
(818) 409-0105
Entity
Organization
Contact information
Practice address
222 W EULALIA ST, SUITE 100C, GLENDALE, CA 91204-2849
(818) 553-8160
(818) 553-8152
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
(323) 488-9782
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0051271
—
CA
Enumeration date
05/14/2007
Last updated
05/24/2021
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