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LOGAN WELLNESS ADVANCED NURSING PRACTICE CORP
NPI 1245870799
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since January 13, 2020
538 N DETROIT ST, LOS ANGELES, CA 90036(310) 751-1080(844) 941-1989 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Oct 5, 2023, Sep 7, 2023 and 5 more (8 updates tracked since 2020).

About Logan Wellness Advanced Nursing Practice Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN WELLNESS ADVANCED NURSING PRACTICE CORP (NPI 1245870799) is a healthcare organization registered as a psychiatric/mental health in Los Angeles, California and active in the NPI registry since January 2020. The organization lists Mark Alan Logan, President, as its authorized official.

NPPES Registry Identity

NPI1245870799
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLOGAN WELLNESS ADVANCED NURSING PRACTICE CORP
Location Address538 N DETROIT STLos Angeles, CA 90036-1949
Mailing Address538 N Detroit StLos Angeles, CA 90036-1949 · (310) 751-1080 · Fax (844) 941-1989
Phone(310) 751-1080
Fax(844) 941-1989
Organization SubpartNo
Authorized OfficialMark Alan LoganPresident · (310) 751-1080
Enumeration DateJanuary 13, 2020
Last NPPES UpdateJanuary 2, 20248 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1245870799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
538 N DETROIT ST, Los Angeles, CA 90036
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK ALAN LOGAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
538 N DETROIT ST
LOS ANGELES, CA 90036
Los Angeles County (310) 751-1080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Wellness Advanced Nursing Practice Corp's NPI number?

The NPI number for Logan Wellness Advanced Nursing Practice Corp is 1245870799. It was assigned to this organization in the NPPES registry on January 13, 2020.

Where is Logan Wellness Advanced Nursing Practice Corp located?

Logan Wellness Advanced Nursing Practice Corp is located at 538 N Detroit St, Los Angeles, CA 90036. The listed phone number is (310) 751-1080.

What is Logan Wellness Advanced Nursing Practice Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Logan Wellness Advanced Nursing Practice Corp was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.