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NICHOLAS N DZEBOLO MD NPI 1932239837


NPI Information

NPI: 1932239837
Provider Name: NICHOLAS N DZEBOLO, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
2105 BEVERLY BLVD STE 111
LOS ANGELES, CA
ZIP 90057
Phone: (213) 484-3994
Get Directions

Nicholas N Dzebolo, MD is an interventional cardiology internal medicine in Los Angeles, CA with 51 years of experience. The provider is 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. Nicholas N Dzebolo, MD NPI is 1932239837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1973

The provider's business location address is:

2105 BEVERLY BLVD STE 111
LOS ANGELES, CA
ZIP 90057-252
Phone: (213) 484-3994
Fax: (212) 484-8795

The NPI 1932239837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 11/16/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear RadiologyG036396CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyG036396CALIFORNIANo
32085R0204XRadiologyVascular & Interventional RadiologyG036396CALIFORNIANo
4207UN0901XNuclear MedicineNuclear CardiologyG036396CALIFORNIANo
5207RI0011XInternal MedicineInterventional CardiologyG036396CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A46671MEDICARE UPIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.