Individual provider · Type 1 NPI

Grace C. Petterson, MD

Specialist · San Pedro, CA

NPI number 1013964980 Active

Practice location

1294 W 6th St, STE#102
San Pedro, CA 90731-2987

Call (310) 832-6487 Map

Fax (310) 832-6913

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA34440 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013964980

Grace C. Petterson, MD's National Provider Identifier is 1013964980, issued on May 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Pedro, CA. The record was last updated on Jul 13, 2026.