Individual
GRACE SUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 880-4338
Mailing address
3166 S SEPULVEDA BLVD UNIT 18, LOS ANGELES, CA 90034-4222
(310) 309-1223
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15855
CA
Other
Enumeration date
06/09/2023
Last updated
09/11/2025
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