OrganizationActive
Dzebolo MD Group Inc
NPI 1023482007 · Specialist · Los Angeles, CA
Dzebolo MD Group Inc is a Specialist organization in Los Angeles, CA (NPI 1023482007).
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
Frequently asked questions
- What is Dzebolo MD Group Inc's NPI number?
- Dzebolo MD Group Inc's National Provider Identifier (NPI) is 1023482007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dzebolo MD Group Inc?
- Dzebolo MD Group Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dzebolo MD Group Inc located?
- Dzebolo MD Group Inc's practice location on file with NPPES is 2105 Beverly Blvd Ste 111, Los Angeles, CA 90057-2252.
- What is Dzebolo MD Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Dzebolo MD Group Inc is (213) 484-3994.
- Who is the authorized official for Dzebolo MD Group Inc?
- The authorized official listed on Dzebolo MD Group Inc's NPPES record is Nicholas Dzebolo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dzebolo MD Group Inc's NPI active?
- Yes — Dzebolo MD Group Inc's NPI (1023482007) is active in the NPPES registry as of the last update on 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.