NICK DZEBOLO MD INC NPI 1205138328

NPI Information

  • NPI: 1205138328
  • Provider Name: NICK DZEBOLO MD INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1030 S GLENDALE AVE
    SUITE 200
    GLENDALE, CA
    ZIP 91205
  • Phone: (818) 241-5072

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NPI Details

NICK DZEBOLO MD INC is a diagnostic radiology radiology in Glendale, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NICK DZEBOLO MD INC NPI is 1205138328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1030 S GLENDALE AVE
SUITE 200
GLENDALE, CA
ZIP 91205-866
Phone: (818) 241-5072
Fax: (818) 244-1768

The provider's authorized official is Nicholas N Dzebolo .
The authorized official title is Ceo and has the following contact phone number (818) 241-5072.

The enumeration date for this NPI number is 11/22/2010 and was last updated on 11/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyNo
2207UN0901XNuclear MedicineNuclear CardiologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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