Provider Demographics
NPI:1700580404
Name:DAVE AULUCK MD PC
Entity Type:Organization
Organization Name:DAVE AULUCK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:AULUCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-936-2873
Mailing Address - Street 1:600 W BROADWAY STE 700
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-3370
Mailing Address - Country:US
Mailing Address - Phone:877-936-2873
Mailing Address - Fax:877-882-6925
Practice Address - Street 1:600 W BROADWAY STE 700
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3370
Practice Address - Country:US
Practice Address - Phone:877-936-2873
Practice Address - Fax:877-882-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty