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Dr. Rutman practiced medicine in the Detroit, Michigan area until 1985 at which time he moved with his family to San Diego, California. In 1985, he founded North Coast Internal Medicine and set up practice in Encinitas, CA. He joined the medical staffs of Scripps Encinitas and La Jolla Hospitals. In 1992, he opened a second office in the Ximed building on the campus of Scripps Memorial Hospital in La Jolla.
In 2010, Dr. Rutman moved his Encinitas office to a brand new, modern state-of-the-art building located at 2355 S. Melrose on the border between Carlsbad and Vista. He continues to have admitting privileges at Scripps Encinitas Hospital and Scripps Memorial Hospital in La Jolla where he has remained on-staff, uninterrupted for 25 years.