Provider Demographics
NPI:1497847974
Name:PRESTON, KARYN W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KARYN
Middle Name:W
Last Name:PRESTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1985 YOSEMITE AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5200
Mailing Address - Country:US
Mailing Address - Phone:805-244-6257
Mailing Address - Fax:
Practice Address - Street 1:1985 YOSEMITE AVE STE 230
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5200
Practice Address - Country:US
Practice Address - Phone:805-244-6257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52215183500000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No183500000XPharmacy Service ProvidersPharmacist