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

Grace Shores Recovery, LLC

Organization Clinical Medical Laboratory · NPI 1942656954

Grace Shores Recovery, LLC is a Clinical Medical Laboratory in Costa Mesa, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2554 Elden Ave B103
Costa Mesa, CA 92627-5127
Phone: (949) 220-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 05D2080278 (CA)

Record details

NPI number1942656954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Edge — Founder/Director · (949) 220-3770
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 9, 2016
Mailing address2554 Elden Ave, B103, Costa Mesa, CA 92627-5127

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