Provider Demographics
NPI:1598088759
Name:PRESKILL, CATALINA PETERS (MD)
Entity Type:Individual
Prefix:DR
First Name:CATALINA
Middle Name:PETERS
Last Name:PRESKILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 6TH AVE
Mailing Address - Street 2:UNIT 909
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-8620
Mailing Address - Country:US
Mailing Address - Phone:619-564-8284
Mailing Address - Fax:
Practice Address - Street 1:575 6TH AVE
Practice Address - Street 2:UNIT 909
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-8620
Practice Address - Country:US
Practice Address - Phone:619-564-8284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29879208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics