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

Gracelyne Lebnyonga Seppo

Individual provider Physician Assistant · NPI 1417662933

Gracelyne Lebnyonga Seppo is a Physician Assistant in Los Angeles, California. Qualified in 2023, 3 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1731 E 120th St
Los Angeles, CA 90059-3051
Phone: (323) 563-4800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417662933
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Los Angeles