Dediashvili, Rusudan
Dediashvili, Rusudan is an individual health care provider with primary practice located at 13760 Victory Blvd , Van Nuys CA 91401-2324. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dediashvili, Rusudan can be contacted via phone (818) 922-7713.Contact Information
Primary practice address
13760 Victory Blvd
Van Nuys CA 91401-2324
Phone: (818) 922-7713
Fax: (323) 965-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | D.C. 25561 | California |
Profile Details
| NPI number | 1134311509 |
|---|---|
| LBN Legal business name | Dediashvili, Rusudan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Sep 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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