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

Logan Goddard

Individual provider Military Health Care Provider · NPI 1144176686

Logan Goddard is a Military Health Care Provider in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-5000
Phone: (626) 993-4243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1144176686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

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