SearchCalifornia3747A0650X

Logan Serena

NPI 1417803206 · on the registry since 2026 · sole proprietor

Practice

Address
11955 Puye Rd
Apple Valley, CA 92308
Phone
(442) 364-3470
Fax
(442) 364-3470

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California