Provider Demographics
NPI:1861810673
Name:DIEFFENBACH, CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:DIEFFENBACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9339 GENESEE AVENUE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2196
Mailing Address - Country:US
Mailing Address - Phone:858-455-7520
Mailing Address - Fax:858-455-5461
Practice Address - Street 1:9339 GENESEE AVENUE
Practice Address - Street 2:SUITE 220
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2196
Practice Address - Country:US
Practice Address - Phone:858-455-7520
Practice Address - Fax:858-455-5461
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC187220207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology