DR. LEWIS E LOGAN II (NPI# 1477093789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477093789 |
| Entity Type | Individual |
| Full Name | DR. LEWIS E LOGAN II |
| Credential | MDIV, THM, DMIN, CPE |
| Practice Address |
332 N. Prairie Ave. Suite 417 Inglewood CA 90301 |
| Mailing Address |
10747 Magnolia Blvd 418 North Hollywood CA 91601-4093 |
| Practice Telephone | 3106801810 |
| Mailing Telephone | 3109367703 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750409173 | Lewis Paul Logan | Family Medicine | 358 Student Health Center, University Park, PA 16802 | 2007-03-26 |
| Street Address |
332 N. PRAIRIE AVE. SUITE 417 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1538603386 | Zina Love | Counselor | 241 S Market St Ste 4, Inglewood, CA 90301 | 2016-12-13 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316486467 | Chaplaincy Care Network | Counselor | 323 N Prairie Ave, Suite 417, Inglewood, CA 90301-4502 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468523 | Jessica Flanigan | Counselor | 29 Homestead Blvd, Mill Valley, CA 94941-3425 | 2020-08-19 |
| 1720606825 | Sam Chang | Counselor | 2649 Dorado Ct, Thousand Oaks, CA 91362-4916 | 2020-07-06 |
| 1528684115 | Robb Ring | Counselor | 802 E Chapman Ave, Orange, CA 92866-1650 | 2020-06-19 |
| 1174147888 | Ever Anselmo Mesa | Counselor | 2710 Gateway Oaks Dr Ste 100, Sacramento, CA 95833-3505 | 2020-05-29 |
| 1326677782 | Jim Carel Ten Bosch | Counselor | 35382 Roca Dr, Fremont, CA 94536-5460 | 2020-04-07 |
| 1841828563 | Elinor Anne Benefield | Counselor | 1918 Henry Ave, Pinole, CA 94564-2131 | 2020-03-29 |
| 1831726280 | Robin R Wells | Counselor | 955 Moraga Rd, Lafayette, CA 94549-4524 | 2020-03-25 |
| 1306472147 | Christine Noelle Haider-winnett | Counselor | 641 G St Apt A, Davis, CA 95616-3753 | 2020-03-12 |
| 1174163968 | Mark Seelig | Counselor | 4665 Hawaina Way, Kelseyville, CA 95451-9757 | 2020-01-09 |
| 1275175382 | Workforce Chaplaincy | Counselor | 4000 W Robinwood Ct, Visalia, CA 93291-5554 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.