Individual provider · Type 1 NPI
Grace Song, PNP
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1790521185
Active
Practice location
327 N Boylston St Apt 419
Los Angeles, CA 90012-4683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95030060 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1790521185
Grace Song, PNP's National Provider Identifier is 1790521185, issued on Jul 4, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 4, 2024.