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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRACE C. PETTERSON, MD

Active

DR. GRACE C. PETTERSON, MD is a Specialist healthcare provider located in SAN PEDRO, California. NPI 1013964980 is currently active in the NPPES registry. Verify at CMS.

Specialist · SAN PEDRO, CA

Registration Details

NPI Number
1013964980
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2006 (20.207574911916 yrs)
Last Updated
Jul 8, 2007
License
A34440 (CA)

Practice Information

Address
1294 W 6TH ST
STE#102
SAN PEDRO, CA, 907312987
Browse CA providers · Browse ZIP 90731
Phone
3108326487
Fax
3108326913
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SAN PEDRO, CA

Name Credential NPI
DR. ANDREW P NOVOM MD 1346295391
DR. PRISCILLA S NOVOM MD 1518914191
DR. ASGHAR ASKARI M.D. 1922116698
DR. NEIL IRA CHAFETZ M.D. 1568599678
DANA A DAHLKE BA, CADC, CDVC 1245436047
MS. LINDA CARRIE MARTIN MEDICAL SKIN CARE SP 1114251725
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.