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Search › California › 390200000X

Lequarius Ruttlen

NPI 1316393887 · on the registry since 2016 · sole proprietor

Practice

Address
12021 Wilmington Ave
Los Angeles, CA 90059
Phone
(310) 454-5043
Organisation at this address
Healthright360
Ghc Of Mlk Llc
Saajan Zala Inc
Mlk Opco Iii Llc
Insight Health Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
412

Additional practice sites

  • 9808 Venice Blvd, Culver City, CA

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
106H00000X
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California