Individual
CONOR LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3380 BEAR CREEK DR, NEWBURY PARK, CA 91320-5008
(323) 213-9220
Mailing address
4834 STERN AVE, SHERMAN OAKS, CA 91423-1924
(323) 213-9220
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16258
CA
Other
Enumeration date
10/17/2014
Last updated
10/02/2021
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