person
Mr. Mark Alan Logan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Los Angeles, California
NPI 1780107433

Mark Alan Logan is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Mark Alan Logan practices in Los Angeles, CA and has the professional credentials of PMHNP-BC. The NPI Number for Mark Alan Logan is 1780107433 and holds a License No. 95013193 (California).

The current practice location address for Mark Alan Logan is 538 N Detroit St, Los Angeles, CA and can be reached out via phone at 310-751-1080 and via fax at 844-941-1989.

Location: 538 N Detroit St, Los Angeles, CA, 90036-1949
person
Provider Profile Details
NPI Number
1780107433
Provider Name
Mark Alan Logan
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
538 N Detroit St, Los Angeles, CA, 90036-1949
Phone Number
310-751-1080
Fax Number
844-941-1989
Provider Enumeration Date
07/24/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
538 N Detroit St
City
State
Zip
90036-1949
Phone Number
310-751-1080
Fax Number
844-941-1989
person
Provider Business Mailing Address Details
Address
538 N Detroit St
City
State
Zip
90036-1949
Phone Number
310-751-1080
Fax Number
844-941-1989
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95013193 (California)
Definition
Definition to come...
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