Basic Information
| Provider Information | |||||||||
| NPI: | 1538111661 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AULUCK | ||||||||
| FirstName: | HARINDER | ||||||||
| MiddleName: | SINGH | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2692 | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945267692 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072535493 | ||||||||
| FaxNumber: | 7076494077 | ||||||||
| Practice Location | |||||||||
| Address1: | 1440 MILITARY WEST | ||||||||
| Address2: | SUITE 201 B | ||||||||
| City: | BENICIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945102449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7075567074 | ||||||||
| FaxNumber: | 7076494077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 10/13/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | A042771 | CA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | A42771 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | OOA427710 | 05 | CA | MEDICAID | A42771 | 01 | CA | CA, MEDICAL BOARD OF | OTHER |