Healthcare Provider Details

I. General information

NPI: 1861307266
Provider Name (Legal Business Name): SONIA LIQUIGAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11398 MODENA LN
PORTER RANCH CA
91326-4190
US

IV. Provider business mailing address

11398 MODENA LN
PORTER RANCH CA
91326-4190
US

V. Phone/Fax

Practice location:
  • Phone: 818-885-8500
  • Fax:
Mailing address:
  • Phone: 818-885-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11240119
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: