Organization
PRIMCARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DZEBOLO MD (CEO/ OWNER)
(747) 265-6308
Entity
Organization
Contact information
Practice address
11755 VICTORY BLVD STE 100B, NORTH HOLLYWOOD, CA 91606-3423
(747) 203-1909
(747) 205-2063
Mailing address
11755 VICTORY BLVD STE 100B, NORTH HOLLYWOOD, CA 91606-3423
(747) 203-1909
(747) 205-2063
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
01/15/2026
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