LOGAN GUNDERSON

LOS ANGELES, CA
NPI1548025703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-02-16
Last Update Date2024-02-29
Business Address
LOGAN GUNDERSON MD
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373
Mailing Address
LOGAN GUNDERSON MD
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373