NICHOLAS N DZEBOLO


Address: 2105 Beverly Blvd Ste 111, Los Angeles, CA 90057-2252
Phone: 2134843994

NICHOLAS N DZEBOLO (NPI# 1932239837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932239837
Entity Type Individual
Full Name NICHOLAS N DZEBOLO
Credential MD
Practice Address 2105 Beverly Blvd Ste 111
Los Angeles
CA 90057-2252
Mailing Address 1100 Ridgeside Dr
Monterey Park
CA 91754-3731
Practice Telephone 2134843994
Practice Fax Number 2124848795
Mailing Telephone 6262816442
Mailing Fax Number 8883022447
Enumeration Date 2007-03-07
Last Update Date 2015-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
G036396 CA Allopathic & Osteopathic Physicians
N 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
G036396 CA Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
G036396 CA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
G036396 CA Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
G036396 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2105 BEVERLY BLVD STE 111
City LOS ANGELES
State CA
Zip Code 90057-2252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023482007 Dzebolo Md Group Inc Specialist 2105 Beverly Blvd Ste 111, Los Angeles, CA 90057-2252 2015-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013518315 Mayulee Wilawanwelsh Massage Therapist 349 S Lafayette Pk Pl, Los Angeles, CA 90057 2020-11-03
1437714615 Jackeline L Ramon Social Worker 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 2019-05-03
1467015743 Chanhwi Jung Acupuncturist 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 2019-04-22
1356818850 Anshim Acupuncture Inc Acupuncturist 4501 Alameda St., #107b #115, Los Angeles, CA 90057 2018-11-01
1538634670 Karina Herrera Case Manager/Care Coordinator 679 S. Hampshire Ave, Los Angeles, CA 90057 2018-10-04
1306323506 Jessica Myung Jin Yun Counselor 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 2018-07-20
1851887012 Scott Moon Dentist 2426 W. 8th St. #209, Los Angeles, CA 90057 2018-07-10
1780176107 Bianca Zafiro Case Manager/Care Coordinator 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 2018-06-01
1639677438 Claudia E Vides Inc A Dental Corporation Clinic/Center 2033 W. 7th Street, Los Angeles, CA 90057 2018-01-26
1720596414 Hee Sun No Pharmacist 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 2018-01-16
Find all providers in zip 90057

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
1932617800 Coordinated Health of Ca, LLC Internal Medicine 8939 S Sepulveda Blvd Ste 102c, Los Angeles, CA 90045-3605 2018-01-13
1033415385 Southern California Cardiovascular Institute Apc Internal Medicine 1100 Wilshire Blvd, Suite 101, Los Angeles, CA 90017-1916 2011-02-03
1174840102 Jonathan Stanley Gordin Internal Medicine 200 Med Plaza, #365,420,120, Los Angeles, CA 90024-0001 2010-04-30
1629244918 Edwin Aik Meng Lee Internal Medicine 1300 N Vermont Ave Ste 808, Los Angeles, CA 90027-6091 2008-05-06
1407065790 Christina Holly Economides Internal Medicine 1245 Wilshire Blvd Ste 703, Los Angeles, CA 90017-4807 2007-05-22
1245353952 Katrine A. Zhiroff Internal Medicine 12021 Wilmington Ave Ste 1000, Los Angeles, CA 90059-3019 2007-04-09
1659498004 Boyle Heights Cardiovascular Medical Group Inc Internal Medicine 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467 2007-03-23
1881742831 Thomas C. Doerner Internal Medicine 1701 E Cesar E Chavez Ave Ste 403, Los Angeles, CA 90033-2425 2007-01-08
1972588622 Evan M Zahn Internal Medicine 127 S. San Vicente Blvd, Ahsp, A3600, Los Angeles, CA 90048 2005-12-14
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90057

Improve Information

Please comment or provide details below to improve the information on NICHOLAS N DZEBOLO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches