Individual
DR. NUBAR BOGHOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15211 VANOWEN ST STE 201, VAN NUYS, CA 91405-3627
(818) 574-3798
(323) 488-9782
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
A88517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A885170
—
CA
Enumeration date
07/18/2006
Last updated
09/14/2021
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