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LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP NPI 1952516627


NPI Information

NPI: 1952516627
Provider Name: LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1505 WILSON TER STE 200
GLENDALE, CA
ZIP 91206
Phone: (323) 910-4060
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LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP is a non pharmacy dispensing site in Glendale, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP NPI is 1952516627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 WILSON TER STE 200
GLENDALE, CA
ZIP 91206-073
Phone: (323) 910-4060
Fax: (818) 279-0818

The provider's authorized official is Boris Bagdasarian .
The authorized official title is Partner and has the following contact phone number (818) 696-6994.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 4/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyNo
2332900000XNon-Pharmacy Dispensing SiteYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0051272MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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