=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235084997
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NUBE X RUIZ OROZCO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2026
-----------------------------------------------------
Last Update Date | 02/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11799 SEBASTIAN WAY STE 103
-----------------------------------------------------
City | RANCHO CUCAMONGA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91730-0708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-353-7547
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 154 SNOWBERRY CT
-----------------------------------------------------
City | SAN JACINTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92583-4358
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-794-6440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------