Rusudan Dediashvili Chiropractic Corp.

LBN: Rusudan Dediashvili Chiropractic Corp.
Rusudan Dediashvili Chiropractic Corp. is an health care organization with primary practice located at 13760 Victory Blvd , Van Nuys CA 91401-2324. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Rusudan Dediashvili Chiropractic Corp. can be contacted via phone (818) 922-7713, or through Dediashvili, Rusudan 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:
Map and Directions
Authorized official contact:
Name: Dediashvili, Rusudan Doctor of Chiropractic (DC)
Phone: (818) 922-7713

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0255610 California

Profile Details

NPI number 1770756892
LBN Legal business name Rusudan Dediashvili Chiropractic Corp.
DBA Doing business as
Authorized official Dediashvili, Rusudan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2008
Last updated May 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770756892 NPPES
California MEDICAID 7723436

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