Chaiyaporn Boonchalermvichian (NPI# 1801046867, PAC ID# 5698051381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1801046867 |
| PAC ID by PECOS | 5698051381 |
| Professional Enrollment ID | I20170412000787 |
| Full Name | Chaiyaporn Boonchalermvichian |
| Organization Legal Name | RICHY AGAJANIAN M D A PROFESSIONAL CORPORATION |
| Address |
1510 S Central Ave 240 The Oncology Institute of Hope and Innovation Glendale CA 91204-2570 |
| Phone Number | 5622320550 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 5698872398 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050022 | RIVERSIDE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 S Main St, Suite 204, Corona, CA 92882-3401 | 9513722400 | RICHY AGAJANIAN M D A PROFESSIONAL CORPORATION |
| 1510 S Central Ave, 240 The Oncology Institute of Hope and Innovation, Glendale, CA 91204-2570 | 5622320550 | RICHY AGAJANIAN M D A PROFESSIONAL CORPORATION |
| 399 E Highland Ave, Suite 501, San Bernardino, CA 92404-3879 | 9099824252 | RICHY AGAJANIAN M D A PROFESSIONAL CORPORATION |
| 1310 San Bernardino Rd, Suite 205, Upland, CA 91786-4985 | 9099061519 | RICHY AGAJANIAN M D A PROFESSIONAL CORPORATION |
| Organization Legal Name | RICHY AGAJANIAN M D A PROFESSIONAL CORPORATION |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle R Greene | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 |
| Michael S. Chung | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 1513 S Grand Ave, Suite 300, Los Angeles, CA 90015-3075 |
| Dimitrios T Diamandidis | Medical Oncology | Richy Agajanian M D A Professional Corporation | 10001 S Eastern Ave, Suite 301, Henderson, NV 89052-3908 |
| Rufina P Miel | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 |
| Ricardo J. Quintero-herencia | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 |
| Ali Baghian | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 4500 Brockton Ave, Suite 316, Riverside, CA 92501-4090 |
| Stephen Huang | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 1510 S Central Ave, 240 The Oncology Institute of Hope and Innovation, Glendale, CA 91204-2570 |
| Mauro C Janoski | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 |
| Daniel Bih-chen Huang | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 |
| Aileen Z Novero | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 1513 S Grand Ave, Suite 300, Los Angeles, CA 90015-3075 |
| Street Address |
1510 S CENTRAL AVE 240 THE ONCOLOGY INSTITUTE OF HOPE AND INNOVATION |
| City | GLENDALE |
| State | CA |
| Zip | 91204-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Habashy | Nephrology | 1510 S Central Ave, Suite 250, Glendale, CA 91204-2550 | |
| Mardiros Mihranian | General Surgery | Elite Surgical Clinic, Medical Corporation | 1510 S Central Ave, Suite 100, Glendale, CA 91204-2582 |
| Jittima Jirasetpatana | Podiatry | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2577 | |
| Stephen Huang | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 1510 S Central Ave, 240 The Oncology Institute of Hope and Innovation, Glendale, CA 91204-2570 |
| Susan Chobanian | Otolaryngology | Elite Surgical Clinic, Medical Corporation | 1510 S Central Ave, Suite 100, Glendale, CA 91204-2582 |
| Andrew Cuong La | Podiatry | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2576 | |
| David Sherman | Nephrology | 1510 S Central Ave, Suite 640, Glendale, CA 91204-2552 | |
| Ferdinant Saran | Geriatric Medicine | 1510 S Central Ave, Suite 515, Glendale, CA 91204-2545 | |
| Gevorg A Mutafyan | General Surgery | 1510 S Central Ave, Suite 200, Glendale, CA 91204-2588 | |
| Marco A Gomezgarcia | Internal Medicine | 1510 S Central Ave, Suite 340, Glendale, CA 91204-2500 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Wong | Diagnostic Radiology | Mri Imaging Institute | 624 S Central Ave, Glendale, CA 91204-0009 |
| Sanjay Sharma | Cardiovascular Disease (cardiology) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| John P Mckenzie Iii | Cardiovascular Disease (cardiology) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| Raed Bargout | Cardiovascular Disease (cardiology) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| Onkarjit Singh Marwah | Cardiovascular Disease (cardiology) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| Mohamed Abdel Latif | Critical Care (intensivists) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| Haroutioun Diccran Mesrobian | Cardiovascular Disease (cardiology) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| Harry Balian | Cardiovascular Disease (cardiology) | Heartbeat Cardiovascular Medical Group | 660 W Broadway, Glendale, CA 91204-1008 |
| Emil A Saify | Anesthesiology | 720 W Broadway, Glendale, CA 91204-1010 | |
| Anil K Modi | Anesthesiology | 716 W Broadway, Glendale, CA 91204-1010 | |
| Find all physicians in zip 91204 | |||
| City | GLENDALE |
| Zip Code | 91204 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | GLENDALE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Chaiyaporn Boonchalermvichian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.