OrganizationActive
Dzebolo MD Group Inc
NPI 1023482007 · Specialist · Los Angeles, CA
Provider details
- NPI number
- 1023482007
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Dzebolo, Owner(213) 484-3994
- License
- 6036396 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2105 Beverly Blvd Ste 111
Los Angeles, CA 90057-2252
Phone: (213) 484-3994
Fax: (213) 484-8795
Street-level locationGet directions
Mailing address
1100 Ridgeside Dr
Monterey Park, CA 91754-3731
Registry dates
- Enumerated
- 2015-11-13
- Last updated
- 2015-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.