Lequarius Ruttlen, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Lequarius Ruttlen is licensed to practice in * (Not Available) (license number ) and his current practice location is
12021 Wilmington Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(310) 454-5043.
NPI number for Lequarius Ruttlen is 1316393887 and his current mailing address is 8314 Compton Ave, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316393887.
Healthcare Provider's Profile
| Full Name | Lequarius Ruttlen |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 12021 Wilmington Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316393887
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 08/30/2024
Medical Identifiers
Medical identifiers for Lequarius Ruttlen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316393887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 103536 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lequarius Ruttlen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lequarius Ruttlen,
8314 Compton Ave,
Los Angeles, CA 90001-3918
Ph: (310) 667-0153 | Lequarius Ruttlen,
12021 Wilmington Ave,
Los Angeles, CA 90059
Ph: (310) 454-5043 |
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