Individual
DANIEL ALLEN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 HOTEL CIR N STE 314, SAN DIEGO, CA 92108-2803
(619) 961-2120
Mailing address
1660 HOTEL CIR N STE 314, SAN DIEGO, CA 92108-2803
(619) 961-2120
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
05/30/2024
Last updated
04/16/2025
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