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LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
NPI 1053131797
Internal Medicine - Hematology & Oncology in Riverside, CA

Active since October 16, 2024
4500 BROCKTON AVE STE 107, RIVERSIDE, CA 92501(951) 276-2760 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Los Angeles Hematology Oncology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP (NPI 1053131797) is a healthcare organization registered as a hematology & oncology in Riverside, California and active in the NPI registry since October 2024. The organization lists Boris Bagdasarian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053131797
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameLOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
Location Address4500 BROCKTON AVE STE 107Riverside, CA 92501-4006
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640
Phone(951) 276-2760
Organization SubpartNo
Authorized OfficialBoris BagdasarianCeo · (818) 409-0105
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1053131797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
4500 BROCKTON AVE STE 107, Riverside, CA 92501
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0937109

Los Angeles Hematology/Oncology Medical Group · Glendale, CA
Expired · Jul 31, 2026
CLIA Number05D0937109
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorBoris Bagdasarian Do
Laboratory Phone(818) 409-0105
Laboratory LocationLos Angeles Hematology/Oncology Medical Group1505 Wilson Terrace, Ste 200, Glendale, CA 91206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIERRA MCCOY
Physician Assistant
4500 BROCKTON AVE STE 107
RIVERSIDE, CA 92501
Riverside County (951) 276-2760
DR. LAXMI SUDARSHAN IYER M.D.,
Internal Medicine (Hematology & Oncology)
4500 BROCKTON AVE STE 107
RIVERSIDE, CA 92501
Riverside County (951) 276-2760
OSAIGIAKPE UGHEIGHELE FNP
Nurse Practitioner
4500 BROCKTON AVE STE 107
RIVERSIDE, CA 92501
Riverside County (951) 276-2760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Angeles Hematology Oncology Medical Group's NPI number?

The NPI number for Los Angeles Hematology Oncology Medical Group is 1053131797. It was assigned to this organization in the NPPES registry on October 16, 2024.

Where is Los Angeles Hematology Oncology Medical Group located?

Los Angeles Hematology Oncology Medical Group is located at 4500 Brockton Ave Ste 107, Riverside, CA 92501. The listed phone number is (951) 276-2760.

What is Los Angeles Hematology Oncology Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Los Angeles Hematology Oncology Medical Group was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.