Individual provider · Type 1 NPI
PK Logan, PA-C
Medical Physician Assistant · Fullerton, CA
NPI number
1902949951
Active
Practice location
150 Laguna Rd
Fullerton, CA 92835-3614
Fax (714) 447-1098
Mailing address
832 Sunset Dr
Hermosa Beach, CA 90254-4248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA12280 (CA) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Gordon C Gunn MD IncGynecology Physician Fullerton, CA NPI 1134223126
- Laguna SCAmbulatory Surgical Clinic/Center Fullerton, CA NPI 1124441852
- Lisa K. Yoo, DOAnesthesiology Physician Fullerton, CA NPI 1760574198
- Robyn Kyomi Sato, DOPain Medicine (Physical Medicine & Rehabilitation) Physician Fullerton, CA NPI 1053405670
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- Judy Ortiz, PAMedical Physician Assistant Fullerton, CA NPI 1154436566
- Lusine Asadzian, PA-CMedical Physician Assistant Fullerton, CA NPI 1194475640
- Jane Wu, PA-CMedical Physician Assistant Fullerton, CA NPI 1205285079
- Deirdre T. Moxley, PA-CMedical Physician Assistant Fullerton, CA NPI 1215118641
- Rebecca Schilleci, P.A.-CMedical Physician Assistant Fullerton, CA NPI 1306154604
- Nikita Kalu Vasoya, PAMedical Physician Assistant Fullerton, CA NPI 1316824089
About NPI 1902949951
PK Logan, PA-C's National Provider Identifier is 1902949951, issued on Feb 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fullerton, CA. The record was last updated on Sep 24, 2018.