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: July 19, 2026.

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

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About LEQUARIUS RUTTLEN

This page provides the complete NPI Profile along with additional information for Lequarius Ruttlen, a primary care provider established in Los Angeles, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1316393887 assigned on May 2016. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1316393887 Verify this NPI
Provider Name
LEQUARIUS RUTTLEN
Gender
Male
Entity Type
Individual
Location Address
12021 WILMINGTON AVE LOS ANGELES, CA 90059
Location Phone
(310) 454-5043
Mailing Address
8314 COMPTON AVE LOS ANGELES, CA 90001
Mailing Phone
(310) 667-0153
Is Sole Proprietor?
Yes
Enumeration Date
05-13-2016
Last Update Date
08-30-2024
Code Navigator

A primary care provider (PCP) like Lequarius Ruttlen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 9808 Venice Blvd Ste. 505
    Culver City, CA 90232
    (310) 945-3350

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

103536 (CA)
2225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Rehabilitation Practitioner

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Nephrology)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine (Gastroenterology)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Radiology (Diagnostic Radiology)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
General Acute Care Hospital
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
General Acute Care Hospital
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Pediatrics
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Specialist
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Emergency Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Pediatrics
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Physician Assistant (Surgical)
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Anesthesiology
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Neurological Surgery
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Nurse Practitioner
12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316393887, enumerated as an "individual" on May 13, 2016.

The provider is located at 12021 WILMINGTON AVE LOS ANGELES, CA 90059 and the phone number is (310) 454-5043.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.