Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES RUSSELL LOGAN, M.D.
ActivePediatrics · PARADISE, CA
Registration Details
- NPI Number
- 1477584001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (19.856804600538 yrs)
- Last Updated
- Apr 17, 2013
- License
-
G72586 (CA)
Practice Information
- Address
-
6470 PENTZ RDSUITE APARADISE, CA, 95969Browse CA providers · Browse ZIP 95969
- Phone
- 5308726655
- Fax
- 5308726653
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in PARADISE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. THEODORE ZWERDLING | MD | 1861475865 |
| DR. SUSAN L MALLORY | M.D. | 1730107400 |
| DENISE ABBASI | — | 1770062341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.