Healthcare Provider Details

I. General information

NPI: 1134064751
Provider Name (Legal Business Name): LAURA PELLEGRINI OROZCO MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 E YORBA LINDA BLVD
PLACENTIA CA
92870-3008
US

IV. Provider business mailing address

717 E YORBA LINDA BLVD
PLACENTIA CA
92870-3008
US

V. Phone/Fax

Practice location:
  • Phone: 714-986-7180
  • Fax:
Mailing address:
  • Phone: 714-686-1940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10047
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: