Healthcare Provider Details

I. General information

NPI: 1255261988
Provider Name (Legal Business Name): MICHELLE MAJED AKROUSH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 N ELM ST STE 203
ESCONDIDO CA
92025-3431
US

IV. Provider business mailing address

255 N ELM ST STE 203
ESCONDIDO CA
92025-3431
US

V. Phone/Fax

Practice location:
  • Phone: 619-573-4245
  • Fax:
Mailing address:
  • Phone: 619-573-4245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number139054
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number139054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: