| Rusudan Dediashvili Chiropractic Corp. | |
|
13760 Victory Blvd, Van Nuys, CA 91401-2324 | |
| (818) 922-7713 | |
| (323) 965-1411 |
| Full Name | Rusudan Dediashvili Chiropractic Corp. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13760 Victory Blvd, Van Nuys, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770756892 | NPI | - | NPPES |
| 7723436 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC0255610 (California) | Primary |
| Provider Name | Rusudan Dediashvili |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134311509 PECOS PAC ID: 2567429806 Enrollment ID: I20041218000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Rusudan Dediashvili Chiropractic Corp. 13760 Victory Blvd, Van Nuys, CA 91401-2324 Ph: (818) 922-7713 | Rusudan Dediashvili Chiropractic Corp. 13760 Victory Blvd, Van Nuys, CA 91401-2324 Ph: (818) 922-7713 |
Lance Usherenko, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14557 Friar St, Van Nuys, CA 91411 Phone: 818-508-4210 | |
Prime Wellness Care, Beltran Chiropractic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14624 Sherman Way Ste 307, Van Nuys, CA 91405 Phone: 818-785-5500 Fax: 818-758-5528 | |
Hoffmann Chiropractic And Wellness Group Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13831 Calvert St, Van Nuys, CA 91401 Phone: 310-430-3540 | |
Dr. Danilo Alves Dos Santos Velozo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14600 Sherman Way Ste 250, Van Nuys, CA 91405 Phone: 818-901-1505 | |
Dr. Alexander Royzman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6850 Van Nuys Blvd Ste 214, Van Nuys, CA 91405 Phone: 818-780-7557 Fax: 818-780-7727 | |
Dr. Anthony Ariel Silva, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14126 Sherman Way Ste 9, Suite #9, Van Nuys, CA 91405 Phone: 818-922-7755 | |
Rusudan Dediashvili, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13760 Victory Blvd, Van Nuys, CA 91401 Phone: 818-922-7713 Fax: 323-965-1411 |