Individual provider · Type 1 NPI

Richard Elden Hostutler Iii, LVN

Licensed Vocational Nurse · San Diego, CA

NPI number 1023930260 Active

Practice location

892 27th St
San Diego, CA 92154-1444

Call (619) 575-4687 Map

Mailing address

358 E San Ysidro Blvd Ste 181
San Diego, CA 92173-2722

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X267004 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1023930260

Richard Elden Hostutler Iii, LVN's National Provider Identifier is 1023930260, issued on Jul 29, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 29, 2026.