Healthcare Provider Details

I. General information

NPI: 1235064486
Provider Name (Legal Business Name): MICHELLE MARCH-OSORIA M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 COLORADO AVE STE 100E
SANTA MONICA CA
90404-5535
US

IV. Provider business mailing address

23637 VIA ANDORRA
VALENCIA CA
91355-3226
US

V. Phone/Fax

Practice location:
  • Phone: 213-340-2947
  • Fax:
Mailing address:
  • Phone: 661-313-2688
  • Fax: 661-313-2688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP13388
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: