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

Grace Song, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1790521185

Grace Song, PNP is a Pediatric Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

327 N Boylston St Apt 419
Los Angeles, CA 90012-4683
Phone: (732) 939-1646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95030060 (CA)

Record details

NPI number1790521185
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJuly 4, 2024
Last updated in NPPESJuly 4, 2024
Certification dateMay 16, 2024

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