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LEQUARIUS RUTTLEN
NPI 1316393887
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 13, 2016
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 454-5043 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2017, Jul 27, 2017, May 13, 2016 (3 updates tracked since 2016).

About Lequarius Ruttlen NPPES

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

LEQUARIUS RUTTLEN (NPI 1316393887) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2016. He maintains a secondary practice location in Culver City.

NPPES Registry Identity

NPI1316393887
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLEQUARIUS RUTTLEN
Location Address12021 WILMINGTON AVELos Angeles, CA 90059
Mailing Address8314 Compton AveLos Angeles, CA 90001-3918 · (310) 667-0153
Phone(310) 454-5043
Sole ProprietorYes
Enumeration DateMay 13, 2016
Last NPPES UpdateAugust 30, 20243 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1316393887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 103536 (CA)
Also ListedRehabilitation PractitionerTaxonomy 225400000X
12021 WILMINGTON AVE, Los Angeles, CA 90059
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Secondary Practice Location 1

Location 19808 Venice Blvd, Ste. 505Culver City, CA 90232-2732 · Phone (310) 945-3350 · Fax (310) 945-3356

Other Providers at the Same Location NPPES 20

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

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

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 Lequarius Ruttlen's NPI number?

The NPI number for Lequarius Ruttlen is 1316393887. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Lequarius Ruttlen located?

Lequarius Ruttlen practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 454-5043.

What is Lequarius Ruttlen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lequarius Ruttlen was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.