Search › California › 207Q00000X
Logan Vidal, DO
NPI 1306133210 · on the registry since 2011 · sole proprietor
Practice
- Address
- Vamc 3350 La Jolla Village Dr
San Diego, CA 92161 - Phone
- (858) 552-8585
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- IA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-17
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