Kornberg, Jason R.

Kornberg, Jason R. is an individual health care provider with primary practice located at 2247 San Diego Ave Ste 134 , San Diego CA 92110-2943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Kornberg, Jason R. can be contacted via phone (858) 677-9222.

Contact Information

Primary practice address
2247 San Diego Ave Ste 134 San Diego CA 92110-2943
Phone: (858) 677-9222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A79691 California
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X A79691 California

Profile Details

NPI number 1073685764
LBN Legal business name Kornberg, Jason R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated May 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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