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LOGAN BUNDY MD NPI 1942462189


NPI Information

NPI: 1942462189
Provider Name: LOGAN BUNDY MD
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
533 SESPE AVE
SUITE B
FILLMORE, CA
ZIP 93015
Phone: (805) 524-6700
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LOGAN BUNDY MD is a legal medicine in Fillmore, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. LOGAN BUNDY MD NPI is 1942462189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

533 SESPE AVE
SUITE B
FILLMORE, CA
ZIP 93015-985
Phone: (805) 524-6700
Fax: (805) 524-6707

The provider's authorized official is Logan Keith Bundy .
The authorized official title is Owner and has the following contact phone number (805) 524-6700.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineG30561CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E96477MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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