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Grace Cavanaugh

NPI 1053171926 · on the registry since 2024

Practice

Address
10833 Le Conte Ave # Chsb2049
Los Angeles, CA 90095
Phone
(310) 825-9111
Clinicians at this address
18

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California