Provider Demographics
NPI:1629775143
Name:AHLUWALIA, ARSHDEEP KAUR
Entity Type:Individual
Prefix:
First Name:ARSHDEEP
Middle Name:KAUR
Last Name:AHLUWALIA
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 1:11806 WESTVIEW PKWY APT 146
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-8514
Mailing Address - Country:US
Mailing Address - Phone:860-459-0442
Mailing Address - Fax:
Practice Address - Street 1:7675 FAMILY CIR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-5304
Practice Address - Country:US
Practice Address - Phone:858-278-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT120700163W00000X
CA95126874163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse