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

Mr. Edward Ruffalo Jr.

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295652659

Mr. Edward Ruffalo Jr. is a Psychiatric/Mental Health Nurse Practitioner in Glendale, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1509 Wilson Ter
Glendale, CA 91206-4007
Phone: (818) 409-8000
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95039298 (CA)

Record details

NPI number1295652659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

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