Organization
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BAGDASARIAN DO (PRESIDENT)
(818) 409-0105
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 698-0300
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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