Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lequarius Ruttlen

Individual provider Marriage & Family Therapist · NPI 1316393887

Lequarius Ruttlen is a Marriage & Family Therapist in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

12021 Wilmington Ave
Los Angeles, CA 90059
Phone: (310) 454-5043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9808 Venice Blvd, Culver City, CA 90232-2732 — (310) 945-3350

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Marriage & Family Therapist Taxonomy 106H00000X · Licence 103536 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1316393887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2016
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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