Healthcare Provider Details

I. General information

NPI: 1073442133
Provider Name (Legal Business Name): REZ SOCIETY NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4684 ONTARIO MILLS PKWY
ONTARIO CA
91764-5151
US

IV. Provider business mailing address

4684 ONTARIO MILLS PKWY STE 200
ONTARIO CA
91764-5151
US

V. Phone/Fax

Practice location:
  • Phone: 951-641-9648
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LIGAYA RESURRECCION
Title or Position: PRESIDENT
Credential: PMHNP-BC
Phone: 951-641-9648