Provider Demographics
NPI:1124675095
Name:AULAKH, AMBER KAUR
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:KAUR
Last Name:AULAKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 N LASSEN AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-9484
Mailing Address - Country:US
Mailing Address - Phone:559-270-9425
Mailing Address - Fax:
Practice Address - Street 1:6181 N THESTA ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8604
Practice Address - Country:US
Practice Address - Phone:559-825-0300
Practice Address - Fax:559-825-0300
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-24
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60346363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant