Maiya Logan O.D.

NPI 1427195189 - Optometrist - 152W00000X

NPI Details
NPI 1427195189
Gender Female
Enumeration Date 01/31/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
24228 HAWTHORNE BLVD
TORRANCE CA, 90505-6505, US
Phone (310) 378-8297
Fax (310) 378-1527
Business Location
24228 HAWTHORNE BLVD
TORRANCE CA, 90505-6505, US
Phone (310) 378-8297
Fax (310) 378-1527
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10365T
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According to our database, Dr. Maiya Logan O.D. NPI is 1427195189, taxonomy code is 152W00000X and license number is 10365T, license state is located at California. Maiya Logan O.D. physically located at 24228 Hawthorne Blvd, Torrance CA, 90505-6505. NPI Number Maiya Logan O.D. has the Individual type.

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1427195189 NPI number is provided on an as is basis without warranty of any kind. 1427195189 is maintained by the National Plan & Provider Enumeration System. The contents of Maiya Logan O.D. are for informational purposes only.