Healthcare Provider Details

I. General information

NPI: 1336338342
Provider Name (Legal Business Name): DR. AMANDEEP K. SEKHON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 LIVE OAK BLVD
YUBA CITY CA
95991-3407
US

IV. Provider business mailing address

1170 LIVE OAK BLVD
YUBA CITY CA
95991-3407
US

V. Phone/Fax

Practice location:
  • Phone: 530-671-9555
  • Fax: 530-671-9580
Mailing address:
  • Phone: 530-671-9555
  • Fax: 530-671-9580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number54402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: