PK LOGAN PA-C
NPI 1902949951
Physician Assistant - Medical in Fullerton, CA

Active since February 15, 2007
150 LAGUNA RD, FULLERTON, CA 92835(714) 447-4800(714) 447-1098 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pk Logan Pa-c NPPES

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

PK LOGAN PA-C (NPI 1902949951) is an individual medical provider in Fullerton, California, licensed in California (PA12280) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1902949951
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePK LOGANCredential: PA-C
Location Address150 LAGUNA RDFullerton, CA 92835-3614
Mailing Address832 Sunset DrHermosa Beach, CA 90254-4248
Fax(714) 447-1098
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateSeptember 24, 2018
NPI 1902949951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA12280
150 LAGUNA RD, Fullerton, CA 92835

Other Providers at the Same Location NPPES 4

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

Physical Medicine & Rehabilitation (Pain Medicine)
150 LAGUNA RD, STE A
FULLERTON, CA 92835
Clinic/Center (Ambulatory Surgical)
150 LAGUNA RD, SUITE B
FULLERTON, CA 92835
Obstetrics & Gynecology (Gynecology)
150 LAGUNA RD
FULLERTON, CA 92835
Anesthesiology
150 LAGUNA RD
FULLERTON, CA 92835

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 Pk Logan's NPI number?

The NPI number for Pk Logan is 1902949951. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Pk Logan located?

Pk Logan practices at 150 Laguna Rd, Fullerton, CA 92835. The listed phone number is (714) 447-4800.

What is Pk Logan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Pk Logan was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.