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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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