Organization
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS BAGDASARIAN D.O. (PARTNER)
(818) 696-6994
Entity
Organization
Contact information
Practice address
1505 WILSON TER STE 200, GLENDALE, CA 91206-4073
(323) 910-4060
(818) 279-0818
Mailing address
1505 WILSON TER STE 210, GLENDALE, CA 91206-4074
(818) 696-6994
(844) 292-1565
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0051272
—
CA
Enumeration date
05/14/2007
Last updated
04/17/2024
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