| Rusudan Dediashvili, DC | |
|
13760 Victory Blvd, Van Nuys, CA 91401-2324 | |
| (818) 922-7713 | |
| (323) 965-1411 |
| Full Name | Rusudan Dediashvili |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 28 Years |
| Location | 13760 Victory Blvd, Van Nuys, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134311509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | D.C. 25561 (California) | Primary |
| Provider Name | Rusudan Dediashvili Chiropractic Corp. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770756892 PECOS PAC ID: 5294792529 Enrollment ID: O20041217000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Rusudan Dediashvili, DC 13760 Victory Blvd, Van Nuys, CA 91401-2324 Ph: (818) 922-7713 | Rusudan Dediashvili, DC 13760 Victory Blvd, Van Nuys, CA 91401-2324 Ph: (818) 922-7713 |
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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 | |
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