Individual
NICHOLAS N DZEBOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1765 CHALLENGE WAY STE 130, SACRAMENTO, CA 95815-5098
(916) 905-5363
(916) 877-7693
Mailing address
1100 RIDGESIDE DR, MONTEREY PARK, CA 91754-3731
(626) 281-6442
(888) 302-2447
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G036396
CA
207UN0901X
Nuclear Cardiology Physician
G036396
CA
2085N0904X
Nuclear Radiology Physician
G036396
CA
2085R0202X
Diagnostic Radiology Physician
G036396
CA
2085R0204X
Vascular & Interventional Radiology Physician
G036396
CA
Other
Enumeration date
03/07/2007
Last updated
05/07/2026
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