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MR. DYLAN GRACE
NPI 1285107979
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since January 06, 2019
1003 S BEACON ST, SAN PEDRO, CA 90731(310) 514-4940 Get Directions Write a Review

NPPES record last updated: January 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dylan Grace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DYLAN GRACE (NPI 1285107979) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (R1319240818) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1285107979
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DYLAN GRACE
Location Address1003 S BEACON STSan Pedro, CA 90731-4324
Mailing AddressPo Box 328San Pedro, CA 90733-0328 · (310) 514-4940
Phone(310) 514-4940
Sole ProprietorYes
Enumeration DateJanuary 6, 2019
✔ NPI 1285107979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1319240818
1003 S BEACON ST, San Pedro, CA 90731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH D HARRINGTON RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
AARON ROGER CRANDELL
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 868-9583
MARTIN GALLARDO RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
RAYMOND SETH MORENO
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
KYLE VINCENT CONNEALLY
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. JOSEPH TYLER DUGGAN RAC
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. MATTHEW R KEOUGH
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. DANDRE JONES
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (424) 772-9669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Grace's NPI number?

The NPI number for Dylan Grace is 1285107979. It was assigned to this individual provider in the NPPES registry on January 6, 2019.

Where is Dylan Grace located?

Dylan Grace practices at 1003 S Beacon St, San Pedro, CA 90731. The listed phone number is (310) 514-4940.

What is Dylan Grace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dylan Grace was last updated on January 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.