Dr. Thomas M Rudenko, D.C.
Chiropractor, Rehabilitation in Studio City, CA. Individual provider (NPI-1).
NPI number1235201591
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235201591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas M Rudenko
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | DC26132 | CA | Yes |
Practice location
11311 Ventura BlvdStudio City, CA 91604-3138
Phone 818-762-4149
Mailing address
11311 Ventura BlvdStudio City, CA 91604-3138
Phone 818-762-4149
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Other Rehabilitation Chiropractor providers in Studio City, CA
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