Nicola Medical Center in Los Angeles, CA - Medicare General Practice

Nicola Medical Center is a medicare enrolled primary clinic (General Practice) in Los Angeles, California. The current practice location for Nicola Medical Center is 1718 Colorado Blvd Ste A, Los Angeles, California. For appointments, you can reach them via phone at (323) 274-4710. The mailing address for Nicola Medical Center is 1718 Colorado Blvd Ste A, Los Angeles, California and phone number is (323) 274-4710.

Nicola Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841035615. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 274-4710.

Contact Information

	Nicola Medical Center
	1718 Colorado Blvd Ste A Los Angeles CA 90041-1338
	(323) 274-4710
	(323) 274-4709

Map and Direction

Primary Care Clinic Profile

Full Name	Nicola Medical Center
Speciality	General Practice
Location	1718 Colorado Blvd Ste A, Los Angeles, California
Authorized Official Name and Position	Nicholas Nick Dzebolo (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	3232744710
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicola Medical Center 1718 Colorado Blvd Ste A Los Angeles CA 90041-1338 Ph: (323) 274-4710	Nicola Medical Center 1718 Colorado Blvd Ste A Los Angeles CA 90041-1338 Ph: (323) 274-4710

NPI Details:

NPI Number	1841035615
Provider Enumeration Date	06/25/2024
Last Update Date	06/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7517404445
Medicare Enrollment ID	O20240808003368

Medical Identifiers

Medical identifiers for Nicola Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841035615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Nicola Medical Center acts as a billing entity for following providers:

Provider Name	Nicholas N Dzebolo
Provider Type	Practitioner - Interventional Radiology
Provider Identifiers	NPI Number: 1932239837 PECOS PAC ID: 3678464013 Enrollment ID: I20040323002048

Reviews and Comments

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Nicola Medical Center - Medicare Primary Care in Los Angeles, CA