RUSUDAN DEDIASHVILI CHIROPRACTIC CORP.
NPI 1770756892
Chiropractor in Van Nuys, CA

Q: What is Rusudan Dediashvili Chiropractic Corp.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since April 09, 2008

13760 VICTORY BLVD, VAN NUYS, CA 91401(818) 922-7713(323) 965-1411 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rusudan Dediashvili Chiropractic Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSUDAN DEDIASHVILI CHIROPRACTIC CORP. (NPI 1770756892) is a healthcare organization registered as a chiropractor in Van Nuys, California and active in the NPI registry since April 2008. The organization lists Rusudan Dediashvili, President, as its authorized official.

NPPES Registry Identity

NPI1770756892

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameRUSUDAN DEDIASHVILI CHIROPRACTIC CORP.

Location Address13760 VICTORY BLVDVan Nuys, CA 91401-2324

Mailing Address13760 Victory BlvdVan Nuys, CA 91401-2324 · (818) 922-7713 · Fax (323) 965-1411

Phone(818) 922-7713

Fax(323) 965-1411

Organization SubpartNo

Authorized OfficialRusudan DediashviliPresident · (818) 922-7713

Enumeration DateApril 9, 2008

Last NPPES UpdateMay 28, 2020

NPPES CertifiedMay 28, 2020

✔ NPI 1770756892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC0255610

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

13760 VICTORY BLVD, Van Nuys, CA 91401

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Other Identifiers 1

Medicaid7723436CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSUDAN DEDIASHVILI D.C.

Chiropractor

13760 VICTORY BLVD
VAN NUYS, CA 91401

Los Angeles County (818) 922-7713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rusudan Dediashvili Chiropractic Corp.'s NPI number?

The NPI number for Rusudan Dediashvili Chiropractic Corp. is 1770756892. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Rusudan Dediashvili Chiropractic Corp. located?

Rusudan Dediashvili Chiropractic Corp. is located at 13760 Victory Blvd, Van Nuys, CA 91401. The listed phone number is (818) 922-7713.

What is Rusudan Dediashvili Chiropractic Corp.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Rusudan Dediashvili Chiropractic Corp. was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.