Individual provider · Type 1 NPI
Tiffany Logan, L.E
Specialist · Inglewood, CA
NPI number
1780461806
Active
Practice location
3317 W Manchester Blvd
Inglewood, CA 90305-2321
Mailing address
PO Box 45970
Los Angeles, CA 90045-0970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780461806
Tiffany Logan, L.E's National Provider Identifier is 1780461806, issued on Sep 12, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Inglewood, CA. The record was last updated on Sep 12, 2023.