Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Wellness Advanced Nursing Practice Corp

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1245870799

Logan Wellness Advanced Nursing Practice Corp is a Psychiatric/Mental Health Nurse Practitioner in Los Angeles, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

538 N Detroit St
Los Angeles, CA 90036-1949
Phone: (310) 751-1080
Fax: (844) 941-1989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1245870799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Logan — President · (310) 751-1080
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address538 N Detroit St, Los Angeles, CA 90036-1949

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