Individual provider Active NPI

Lori Bagboudarian, M.S.

  • Genetic Counselor (M.S.)
  • Los Angeles, CA
National Provider Identifier
1962666412
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
12331 Issued in CA
Practice address
5300 McConnell Ave
Los Angeles, CA 90066-7026
Phone
(310) 482-5000
Fax
(212) 258-2137
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 12331 CA Primary

Addresses

Primary practice location

5300 McConnell Ave
Los Angeles, CA 90066-7026

Mailing address

17426 Tuscan Dr
Granada Hills, CA 91344-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1962666412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17426 TUSCAN DR",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MCCONNELL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667026",
            "telephone_number": "310-482-5000",
            "fax_number": "212-258-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGBOUDARIAN",
        "first_name": "LORI",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "12331",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 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.