LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
NPI 1457178907
Internal Medicine - Hematology & Oncology in Fountain Valley, CA

Active since September 25, 2024
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708(714) 698-0300 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 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 1457178907) is a healthcare organization registered as a hematology & oncology in Fountain Valley, California and active in the NPI registry since September 2024. The organization lists Boris Bagdasarian, President, as its authorized official.

NPPES Registry Identity

NPI1457178907
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameLOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Location Address11180 WARNER AVE STE 351Fountain Valley, CA 92708-7516
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 254-0046
Organization SubpartNo
Authorized OfficialBoris BagdasarianPresident · (818) 409-0105
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1457178907 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.
11180 WARNER AVE STE 351, Fountain Valley, CA 92708

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D1015130

Los Angeles Hematology Oncology Medical Group · Fountain Valley, CA
Expired · Jul 31, 2026
CLIA Number05D1015130
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorHaresh S. Jhangiani
Laboratory Phone(714) 698-0300
Laboratory LocationLos Angeles Hematology Oncology Medical Group11180 Warner Ave, Ste 351, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Address 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 13

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

Dentist (Endodontics)
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Specialist
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Internal Medicine (Hematology & Oncology)
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Specialist
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Internal Medicine (Hematology & Oncology)
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Non-Pharmacy Dispensing Site
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Specialist
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708
Physician Assistant (Medical)
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA 92708

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 1457178907. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Los Angeles Hematology-Oncology Medical Group located?

Los Angeles Hematology-Oncology Medical Group is located at 11180 Warner Ave Ste 351, Fountain Valley, CA 92708. The listed phone number is (714) 698-0300.

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 September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.