Healthcare Provider Details

I. General information

NPI: 1194693341
Provider Name (Legal Business Name): COURTNEY OSOWSKI MS, CNIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 E GREEN ST APT 1669
PASADENA CA
91101-2320
US

IV. Provider business mailing address

275 E GREEN ST APT 1669
PASADENA CA
91101-2320
US

V. Phone/Fax

Practice location:
  • Phone: 619-438-2072
  • Fax:
Mailing address:
  • Phone: 619-438-2072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: