Individual provider · NPI-1

Lori Bagboudarian, M.S.

Genetic Counselor, MS · Los Angeles, CA

NPI number1962666412
StatusActive
Last updated in NPPESJul 14, 2008

Details

NPI
1962666412
Entity type
Individual (NPI-1)
Name
Lori Bagboudarian
Credential
M.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 14, 2008
Last updated
Jul 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170300000X Genetic Counselor, MS12331CAYes

Practice location

5300 Mcconnell Ave
Los Angeles, CA 90066-7026

Phone 310-482-5000 · Fax 212-258-2137

Mailing address

17426 Tuscan Dr
Granada Hills, CA 91344-1055

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