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

Dr. Grace C. Petterson, MD

Individual provider Specialist · NPI 1013964980

Dr. Grace C. Petterson, MD is a Specialist in San Pedro, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1294 W 6th St STE#102
San Pedro, CA 90731-2987
Phone: (310) 832-6487
Fax: (310) 832-6913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A34440 (CA)

Record details

NPI number1013964980
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1294 W 6th St, Ste#102, San Pedro, CA 90731-2987

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