Haak, Logan Milad

Haak, Logan Milad is an individual health care provider with primary practice located at 1855 1St Ave Ste 200B, San Diego CA 92101-2685. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Haak, Logan Milad can be contacted via phone (858) 863-7597.

Contact Information

Primary practice address
1855 1St Ave Ste 200B San Diego CA 92101-2685
Phone: (858) 863-7597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 49767 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 110896 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 49767 Arizona

Profile Details

NPI number 1952565491
LBN Legal business name Haak, Logan Milad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated May 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952565491 NPPES
Arizona MEDICAID 977504

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