Organization
NICK DZEBOLO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS N DZEBOLO (OWNER)
(310) 412-7800
Entity
Organization
Contact information
Practice address
301 N PRAIRIE AVE, #125, INGLEWOOD, CA 90301-4507
(310) 412-7800
(310) 412-7801
Mailing address
301 N PRAIRIE AVE, #125, INGLEWOOD, CA 90301-4507
(310) 412-7800
(310) 412-7801
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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