Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Medical Group

Organization Clinic/Center · NPI 1326622143

Beverly Medical Group is a Clinic/Center in Los Angeles, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2105 Beverly Blvd Ste 233B
Los Angeles, CA 90057-2216
Phone: (213) 674-7859
Fax: (213) 277-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1326622143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Dzebolo — Ceo · (132) 771-0302
NPI enumeratedMay 7, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address2105 Beverly Blvd Ste 233b, Los Angeles, CA 90057-2216

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