Organization
LOGAN M. HAAK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN M HAAK MD (OWNER/PRESIDENT)
(858) 863-7597
Entity
Organization
Contact information
Practice address
1855 1ST AVE # 200B, SAN DIEGO, CA 92101-2685
(858) 863-7597
Mailing address
6259 CAMINITO LUISITO, SAN DIEGO, CA 92111-7214
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
09/11/2019
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