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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.