SearchCalifornia106S00000X

Logan Tavernier

NPI 1992665632 · on the registry since 2025

Practice

Address
1295 Corona Pointe Ct Ste 102
Corona, CA 92879
Phone
(855) 223-7123
Fax
(619) 374-7134
Clinicians at this address
791

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2025-11-14

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