Organization · Type 2 NPI

Dzebolo MD Group Inc

Specialist · Los Angeles, CA

NPI number 1023482007 Active

Practice location

2105 Beverly Blvd Ste 111
Los Angeles, CA 90057-2252

Fax (213) 484-8795

Mailing address

1100 Ridgeside Dr
Monterey Park, CA 91754-3731

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X6036396 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023482007

Dzebolo MD Group Inc's National Provider Identifier is 1023482007, issued on Nov 13, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 16, 2015.