Healthcare Provider Details

I. General information

NPI: 1093695116
Provider Name (Legal Business Name): MICHELLE DONAR
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 ALDERGROVE AVE
ESCONDIDO CA
92029-1935
US

IV. Provider business mailing address

2310 ALDERGROVE AVE
ESCONDIDO CA
92029-1935
US

V. Phone/Fax

Practice location:
  • Phone: 760-432-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: