Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PK LOGAN, PA-C
ActivePK LOGAN, PA-C is a Medical Physician Assistant healthcare provider located in FULLERTON, California. NPI 1902949951 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FULLERTON, CA
Registration Details
- NPI Number
- 1902949951
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2007 (19.500627408662 yrs)
- Last Updated
- Sep 24, 2018
- License
-
PA12280 (CA)
Practice Information
- Address
-
150 LAGUNA RDFULLERTON, CA, 928353614Browse CA providers · Browse ZIP 92835
- Phone
- 7144474800
- Fax
- 7144471098
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FULLERTON, CA
| Name | Credential | NPI |
|---|---|---|
| RICHARD LEE YAMASAKI | PA | 1689615841 |
| JUDY ORTIZ | PA | 1154436566 |
| KYLA AMA DAVIS | PA-C | 1972726784 |
| JAIME NERI JR. | PA-C | 1932388840 |
| KENDRA HIGGINS | P.A. | 1063692366 |
| DEIRDRE T MOXLEY | PA-C | 1215118641 |
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.