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

Dr. Kyle Anthony Matthew Logan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023690708

Dr. Kyle Anthony Matthew Logan, MD is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9990 County Farm Rd Ste 5
Riverside, CA 92503
Phone: (951) 358-3509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A183649 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023690708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address9990 County Farm Rd Ste 5, Riverside, CA 92503

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