LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP - NPI 1952516627 - Non-Pharmacy Dispensing Site in Glendale, CA

Q: What is the provider's specialty?

The provider's specialty is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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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 1952516627) is a healthcare organization registered as a non-pharmacy dispensing site in Glendale, California and active in the NPI registry since May 2007. The organization lists Boris Bagdasarian, Partner, as its authorized official.

NPPES Registry Identity

NPI1952516627

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameLOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP

Location Address1505 WILSON TER STE 200Glendale, CA 91206-4073

Mailing Address1505 Wilson Ter Ste 210Glendale, CA 91206-4074 · (818) 696-6994 · Fax (844) 292-1565

Phone(323) 910-4060

Fax(818) 279-0818

Organization SubpartNo

Authorized OfficialBoris BagdasarianPartner · (818) 696-6994

Enumeration DateMay 14, 2007

Last NPPES UpdateApril 17, 20246 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1952516627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

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.)

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

1505 WILSON TER STE 200, Glendale, CA 91206

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Other Identifiers 1

MedicaidGR0051272CA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

JERRY KIYOHARU WADA M.D.

Internal Medicine (Hematology & Oncology)