# GRACE SURGERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184209769
- **Authorized official:** NABILA AZIZ (MANAGER)
- **Authorized official phone:** (818) 401-1010

## Contact information

- **Practice address:** 23911 CALGROVE BLVD, SANTA CLARITA, CA 91321-3705
- **Practice address phone:** (661) 505-7079
- **Mailing address:** 16917 ENADIA WAY, VAN NUYS, CA 91406-3602
- **Mailing address phone:** (818) 401-1010
- **Mailing address fax:** (818) 401-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2021
- **Last updated:** 03/15/2021