Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rusudan Dediashvili, DC

Individual provider Chiropractor · NPI 1134311509

Rusudan Dediashvili, DC is a Chiropractic in Van Nuys, California. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

13760 Victory Blvd
Van Nuys, CA 91401-2324
Phone: (818) 922-7713
Fax: (323) 965-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence D.C. 25561 (CA)

Record details

NPI number1134311509
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 9, 2007
Last updated in NPPESSeptember 18, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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