Individual
CULLEN HERCULES GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 S SAN PEDRO ST, LOS ANGELES, CA 90013
(562) 867-7999
Mailing address
522 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64044
CA
Other
Enumeration date
01/20/2023
Last updated
05/19/2025
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