PK LOGAN

FULLERTON, CA
NPI1902949951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA12280)
Enumeration Date2007-02-15
Last Update Date2018-09-24
Business Address
PK LOGAN PA-C
150 LAGUNA RD
FULLERTON, CA 92835-3614
Phone number: 714-447-4800
Mailing Address
PK LOGAN PA-C
832 SUNSET DR
HERMOSA BEACH, CA 90254-4248
Phone number: