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NPI Code Detail

MEDICARE: DR. CATHERINE DIEFFENBACH MD

MEDICARE: DR. CATHERINE DIEFFENBACH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianC187220CA

General Provider Information

NPI Number : 1861810673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE DIEFFENBACH MD
Provider Business Mailing Address
First Line : 9339 GENESEE AVENUE
Second Line : SUITE 220
City : SAN DIEGO
State : CA
Zip : 92121-2196
Country : US
Telephone Number : 858-455-7520
Fax Number : 858-455-5461
Provider Business Practice Location Address
First Line : 9339 GENESEE AVENUE
Second Line : SUITE 220
City : SAN DIEGO
State : CA
Zip : 92121-2196
Country : US
Telephone Number : 858-455-7520
Fax Number : 858-455-5461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 04/16/2024

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