Individual provider · Type 1 NPI

Leonard Ruckman

Peer Specialist · Los Angeles, CA

NPI number 1013849835 Active

Practice location

426 S San Pedro St
Los Angeles, CA 90013-2119

Call (213) 626-2119 Map

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-FWHAPG (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013849835

Leonard Ruckman's National Provider Identifier is 1013849835, issued on Jun 3, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 3, 2026.