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Organization
MEDSTAR MEDICAL GROUP
Active
Organization
MEDSTAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS N DZEBOLO MD (OWNER)
(707) 770-0777
Entity
Organization
Contact information
Practice address
19100 VENTURA BLVD STE B, TARZANA, CA 91356-3238
(707) 770-0777
Mailing address
19100 VENTURA BLVD STE B, TARZANA, CA 91356-3238
(707) 770-0777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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