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
—
—
Other
Enumeration date
01/13/2020
Last updated
01/02/2024
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