Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LOGAN WELLNESS ADVANCED NURSING PRACTICE CORP
Active
Organization
LOGAN WELLNESS ADVANCED NURSING PRACTICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN LOGAN NP (PRESIDENT)
(310) 751-1080
Entity
Organization
Contact information
Practice address
538 N DETROIT ST, LOS ANGELES, CA 90036-1949
(310) 751-1080
(844) 941-1989
Mailing address
538 N DETROIT ST, LOS ANGELES, CA 90036-1949
(310) 751-1080
(844) 941-1989
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers