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LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
NPI 1386859122
Internal Medicine - Hematology & Oncology in Glendale, CA

Active since May 14, 2007CLIA 05D2106319 · Certificate of Compliance
222 W EULALIA ST, SUITE 100C, GLENDALE, CA 91204(818) 553-8160(818) 553-8152 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Mar 2, 2021 (2 updates tracked since 2021).

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 1386859122) is a healthcare organization registered as a hematology & oncology in Glendale, California and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 14, 2026 and lists Boris Bagdasrian, Partner, as its authorized official.

NPPES Registry Identity

NPI1386859122
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameLOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Location Address222 W EULALIA ST, SUITE 100CGlendale, CA 91204-2849
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 254-0046 · Fax (323) 488-9782
Phone(818) 553-8160
Fax(818) 553-8152
Organization SubpartNo
Authorized OfficialBoris BagdasrianPartner · (818) 409-0105
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1386859122 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.

222 W EULALIA ST, Glendale, CA 91204
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Other Identifiers 1

MedicaidGR0051271CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2106319

Los Angeles Hematology Oncology Med Grp · Glendale, CA
Active · expires Sep 14, 2026
CLIA Number05D2106319
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorDr. Nubar P. Boghossian MD
Laboratory Phone(818) 553-8160
Laboratory LocationLos Angeles Hematology Oncology Med Grp222 W Eulalia St, Ste 100C, Glendale, CA 91204
CLIA data matches this NPI record on: Address 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 20

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

GLENDALE PREMIER MEDICAL GROUP
Family Medicine
222 W EULALIA ST, #201
GLENDALE, CA 91204
Los Angeles County (818) 240-0601
GLENDALE ORTHOPAEDICS INC.
Orthopaedic Surgery
222 W EULALIA ST, SUITE 300
GLENDALE, CA 91204
Los Angeles County (818) 547-0608
DENA RAFIQ NASIR MD
Colon & Rectal Surgery
222 W EULALIA ST
GLENDALE, CA 91204
Los Angeles County (818) 730-3726
MS. MICHELLE DEWINDT P.A.-C
Physician Assistant (Medical)
222 W EULALIA ST, SUITE 200
GLENDALE, CA 91204
Los Angeles County (818) 956-8582
DR. LYDIA S BANGTSON PH.D.
Psychologist (Clinical)
222 W EULALIA ST, SUITE 301
GLENDALE, CA 91204
Los Angeles County (818) 240-0108
ROBERT BEART M.D.
Colon & Rectal Surgery
222 W EULALIA ST, SUITE 100A
GLENDALE, CA 91204
Los Angeles County (818) 244-8161
MS. MERCEDES F. MARUSCAK N.P.
Internal Medicine (Hematology & Oncology)
222 W EULALIA ST, 100-B
GLENDALE, CA 91204
Los Angeles County (818) 637-7611
MR. RAY BURTON BLOSS III PA-C
Physician Assistant
222 W EULALIA ST, SUITE #101
GLENDALE, CA 91204
Los Angeles County (818) 246-4800

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 1386859122. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Los Angeles Hematology-Oncology Medical Group located?

Los Angeles Hematology-Oncology Medical Group is located at 222 W Eulalia St Suite 100C, Glendale, CA 91204. The listed phone number is (818) 553-8160.

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.

Does Los Angeles Hematology-Oncology Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2106319) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Angeles Hematology-Oncology Medical Group was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.