# LOGAN M. HAAK, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932763042
- **Authorized official:** DR. LOGAN M HAAK MD (OWNER/PRESIDENT)
- **Authorized official phone:** (858) 863-7597

## Contact information

- **Practice address:** 1855 1ST AVE \# 200B, SAN DIEGO, CA 92101-2685
- **Practice address phone:** (858) 863-7597
- **Mailing address:** 6259 CAMINITO LUISITO, SAN DIEGO, CA 92111-7214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2019
- **Last updated:** 09/11/2019