Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cullen Hercules Gray

Individual provider Physician Assistant · NPI 1487369799

Cullen Hercules Gray is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

522 S San Pedro St
Los Angeles, CA 90013
Phone: (562) 867-7999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 64044 (CA)

Record details

NPI number1487369799
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2023
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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