MEDICARE: DR. DWAYNE KEITH LOGAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	G68583	CA
2	207WX0120X	Cornea and External Diseases Specialist Physician	G68583	CA
3	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	G68583	CA
4	207W00000X	Ophthalmology Physician	G68583	CA

General Provider Information

NPI Number	:	1164520714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DWAYNE KEITH LOGAN M.D.

Provider Business Mailing Address
First Line	:	14726 RAMONA AVE STE 203
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5730
Country	:	US
Telephone Number	:	626-305-9100
Fax Number	:	626-305-0152

Provider Business Practice Location Address
First Line	:	5991 E SPRING ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3752
Country	:	US
Telephone Number	:	562-938-9945
Fax Number	:	562-496-0433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/13/2024

Similar Medicare Providers

1992563944 — DR. SARA JAVIDINEJAD O.D.
Practice Location Address:

5991 E SPRING ST
LONG BEACH, CA
90808-3752

Practice Phone: 562-938-9945
Practice Fax:

1134102338 — MR. WILLIAM FRANK BOWMAN M.D.
Practice Location Address:

5977 E SPRING ST
LONG BEACH, CA
90808-3752

Practice Phone: 562-421-3727
Practice Fax: 562-420-8948

1811947807 — DR. KENNETH M LEE DC
Practice Location Address:

5935 E SPRING ST
LONG BEACH, CA
90808-3752

Practice Phone: 562-497-2910
Practice Fax: 562-497-2912

1902842511 — VONS COMPANIES INC
Practice Location Address:

5949 E SPRING ST
LONG BEACH, CA
90808-3752

Practice Phone: 562-496-1851
Practice Fax: 562-496-1251

1447311725 — DR. STEPHEN W CLARK D.D.S.
Practice Location Address:

5963 E SPRING ST
LONG BEACH, CA
90808-3752

Practice Phone: 562-421-8401
Practice Fax: 562-421-0523

1568529246 — FAMILY HEALTH CARE OF LONG BEACH MEDICAL GRP. INC.
Practice Location Address:

5977 E SPRING ST
LONG BEACH, CA
90808-3752

Practice Phone: 562-421-3727
Practice Fax: 562-420-8948

Directions to “ DR. DWAYNE KEITH LOGAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.