Individual
MR. MARK ALAN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
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
95013193
CA
Other
Enumeration date
07/24/2017
Last updated
03/26/2024
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