MR. Mark Alan Logan, PMHNP-BC is a psychiatric/mental health nurse practitioner in Glendale, CA. MR. Mark Alan Logan, PMHNP-BC NPI is 1780107433. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
655 N CENTRAL AVE # 1754
GLENDALE, CA
ZIP 91203-422
Phone: (310) 751-1080
Fax: (844) 941-1989
The NPI 1780107433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/24/2017 and was last updated on 3/16/2021.