Nicholas N Dzebolo Jr. (NPI# 1932239837, PAC ID# 3678464013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1932239837 |
| PAC ID by PECOS | 3678464013 |
| Professional Enrollment ID | I20040323002048 |
| Full Name | Nicholas N Dzebolo Jr. |
| Organization Legal Name | BEVERLY MULTISPECIALTY CLINIC INC |
| Address |
2105 Beverly Blvd Suite 111 Los Angeles CA 90057-2252 |
| Phone Number | 2134843994 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY, FAMILY PRACTICE, GENERAL PRACTICE, NUCLEAR MEDICINE |
| Group Practice PAC ID | 0648573568 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2105 Beverly Blvd, Suite 111, Los Angeles, CA 90057-2252 | 2134843994 | BEVERLY MULTISPECIALTY CLINIC INC |
| 2105 Beverly Blvd, Los Angeles, CA 90057-2252 | 2134843994 | BEVERLY MULTISPECIALTY CLINIC INC |
| Organization Legal Name | BEVERLY MULTISPECIALTY CLINIC INC |
| Physicians | 1 |
| Street Address |
2105 BEVERLY BLVD SUITE 111 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90057-2252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Umaguing Suyat | Internal Medicine | 2105 Beverly Blvd, Los Angeles, CA 90057-2263 | |
| Sangdo Park | Orthopedic Surgery | 2105 Beverly Blvd, Suite 223, Los Angeles, CA 90057-2280 | |
| Karlu Tan | Physical Therapy | Seersoft | 2105 Beverly Blvd, Suite 231, Los Angeles, CA 90057-2287 |
| Augusto A Zablan | General Surgery | 2105 Beverly Blvd, Suite 213, Los Angeles, CA 90057-2272 | |
| Reynaldo C Zapata | Internal Medicine | 2105 Beverly Blvd, Suite 211, Los Angeles, CA 90057-2271 | |
| Annabella B Chu | Oral Surgery | 2105 Beverly Blvd, Suite 215, Los Angeles, CA 90057-2273 | |
| Rumi K Lakha | General Practice | 2105 Beverly Blvd, Suite 233a, Los Angeles, CA 90057-2216 | |
| Mohinder S Sohal | Cardiovascular Disease (cardiology) | 2105 Beverly Blvd, Suite 227, Los Angeles, CA 90057-2282 | |
| Steven Shan-jen Ho | Nephrology | 2105 Beverly Blvd, Suite 201, Los Angeles, CA 90057-2264 | |
| Vasanth Kumar | Internal Medicine | Vasanth K Kumar M D Inc | 2105 Beverly Blvd, Suite 205, Los Angeles, CA 90057-2268 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margarita S Symonian Silver | Nephrology | St Vincent Medical Ctr, 2131 W 3rd Street, Los Angeles, CA 90057-0992 | |
| Juan Carlos Echeverria | Diagnostic Radiology | Radadvantage A Professional Corporation | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Shahram S Farahvash | Anesthesiology | St. Vincent Anesthesia Medical Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Raymond D Gritton | Physical Medicine and Rehabilitation | 2131 W 3rd St, Los Angeles, CA 90057-1901 | |
| Ram K Sharma | Anesthesiology | Axiom Anesthesia Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Carmela Yomtoubian | Emergency Medicine | Cep America - California | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Julio A Raya | Anesthesiology | Axiom Anesthesia Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Andrew M Abdelmalek | Anesthesiology | Axiom Anesthesia Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Ralph Cabrera | Certified Registered Nurse Anesthetist (crna) | St. Vincent Anesthesia Medical Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Grace Lin | Nephrology | Gch Medical Group Inc | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Find all physicians in zip 90057 | |||
| City | LOS ANGELES |
| Zip Code | 90057 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | LOS ANGELES + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Nicholas N Dzebolo Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.