person
Pk Logan, PA-C
Medical Physician Assistant in Fullerton, California
NPI 1902949951

Pk Logan is a Medical Physician Assistant based in Hermosa Beach, CA and is specialized in Medical. Pk Logan practices in Fullerton, CA and has the professional credentials of PA-C. The NPI Number for Pk Logan is 1902949951 and holds a License No. PA12280 (California).

The current practice location address for Pk Logan is 150 Laguna Rd, Fullerton, CA and can be reached out via phone at 714-447-4800 and via fax at 714-447-1098. You can also correspond with Pk Logan through the mailing address at 832 SUNSET DR, HERMOSA BEACH, CA - 90254-4248 (mailing address contact number: ).

Location: 150 Laguna Rd, Fullerton, CA, 90254-4248
person
Provider Profile Details
NPI Number
1902949951
Provider Name
Pk Logan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
150 Laguna Rd, Fullerton, CA, 90254-4248
Phone Number
714-447-4800
Fax Number
714-447-1098
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
150 Laguna Rd
City
State
Zip
92835-3614
Phone Number
714-447-4800
Fax Number
714-447-1098
person
Provider Business Mailing Address Details
Address
150 Laguna Rd
City
State
Zip
92835-3614
Phone Number
714-447-4800
Fax Number
714-447-1098
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA12280 (California)
Definition
Definition to come...
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