Organization Active NPI

Armand Bouzaglou MD Apc

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1457521510
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G26098 Issued in CA
Legal business name
ARMAND BOUZAGLOU MD APC
Practice address
201 S Alvarado St
Suite a
Los Angeles, CA 90057-2320
Phone
(213) 484-7577
Fax
(213) 484-7588
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Armand Bouzaglou, M.D
Title
President
Phone
(213) 484-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X G26098 CA Primary

Addresses

Primary practice location

201 S Alvarado St
Suite a
Los Angeles, CA 90057-2320

Mailing address

PO Box 67068
Los Angeles, CA 90067-0068
Phone (310) 273-7365

Other identifiers 1

IdentifierTypeStateIssuer
000260981MedicaidCA

National Provider Directory

National Provider Directory

Locations

201 S Alvarado St
Ste A
Los Angeles, CA 90057
Phone (213) 484-7577

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1457521510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67068",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900670068",
            "telephone_number": "310-273-7365",
            "fax_number": "310-273-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-7577",
            "fax_number": "213-484-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMAND BOUZAGLOU MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BOUZAGLOU",
        "authorized_official_first_name": "ARMAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-7578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G26098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000260981",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.