Healthcare Provider Details

I. General information

NPI: 1760335418
Provider Name (Legal Business Name): LIUSKA D RINCON ORDONEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25015 NEWHALL AVE
SANTA CLARITA CA
91321-1035
US

IV. Provider business mailing address

PO BOX 707
TUJUNGA CA
91043-7007
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-1551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: