NPI 1013849835

Leonard Ruckman

Practitioner Peer Specialist Los Angeles, CA

Practice location

Address: 426 S San Pedro St, Los Angeles, CA 90013-2119
Phone: (213) 626-2119
Mailing address: 12070 Telegraph Rd, Santa Fe Springs, CA 90670-3771

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-FWHAPG (CA)

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Registry record

NPI: 1013849835
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2026
Record last updated: 3 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.