JENNIE LYNFRED LOGUE (NPI# 1982114476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982114476 |
| Entity Type | Individual |
| Full Name | JENNIE LYNFRED LOGUE |
| Practice Address |
3868 S Centinela Ave Apt 12 Los Angeles CA 90066-4459 |
| Practice Telephone | 8186194041 |
| Mailing Telephone | 8186194041 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
20293 | CA | Chiropractic Providers |
| Street Address |
3868 S CENTINELA AVE APT 12 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-4459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598187635 | Ida Molayem | Chiropractor | 6399 Wilshire Blvd Ste 110, Los Angeles, CA 90048-5704 | 2014-01-08 |
| 1497060503 | Christine Jinkyoung An | Chiropractor | 955 S. Western Ave., #203, Los Angeles, CA 90006 | 2010-08-12 |
| 1174765317 | Dmitriy Sklyut | Chiropractor | 7067 Hawthorn Ave, Suite 9, Los Angeles, CA 90028-6910 | 2009-04-02 |
| 1942477229 | Soungdon Chung | Chiropractor | 2140 W. Olympic Blvd, Suite 405, Los Angeles, CA 90006 | 2008-05-14 |
| 1316317902 | Purun Spine and Arthro Clinic | Chiropractor | 2140 W Olympic Blvd, Suite 405, Los Angeles, CA 90006-2207 | 2015-09-25 |
| 1962653808 | Roksana Shokouh Parham | Chiropractor | 1711 W Temple St, Ste: 4100, Los Angeles, CA 90026-5421 | 2008-10-09 |
| 1831307669 | Myron Blaine Cooke | Chiropractor | 3756 Santa Rosalia Dr Ste 609, Los Angeles, CA 90008-3606 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718160 | Matthew Anthony O'brien | Chiropractor | 3753 Ridgeview Ct, Morgan Hill, CA 95037-6820 | 2020-07-23 |
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1508345539 | City Line Medical Management | Chiropractor | 15741 Woodruff Ave Ste B, Bellflower, CA 90706-4083 | 2018-08-10 |
| 1033612197 | Ian Fitz-gibbon | Chiropractor | 3668 S Soto St, Vernon, CA 90058-1701 | 2018-03-15 |
| 1477070969 | Gurwinder Kaur Bath | Chiropractor | 2628 El Camino Ave Ste C1, Sacramento, CA 95821-5936 | 2017-08-24 |
| 1407268493 | Greg Michaels LLC | Chiropractor | 6121 Telegraph Rd, Ste 200, Commerce, CA 90040-2501 | 2014-05-23 |
| 1679990782 | Jagtar S Dhesi Dc A Chiropractic Corp | Chiropractor | 947 Bluebell Dr, Livermore, CA 94551-5319 | 2014-03-26 |
| 1619300902 | Daniel F Hillenbrand | Chiropractor | 1561 Trawler St, Discovery Bay, CA 94505-9346 | 2013-08-09 |
| 1356689350 | Erika Beth Eckman | Chiropractor | 7520 Eads Ave Ste 7, La Jolla, CA 92037-4815 | 2013-01-25 |
| 1881966075 | Andrea E Prost | Chiropractor | 103 Mar Vista Dr, Aptos, CA 95003-3502 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on JENNIE LYNFRED LOGUE.
| 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.