Individual
ALLISON KORNBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(917) 699-6856
Mailing address
2127 OLYMPIC PARKWAY, SUITE 1006, #223, CHULA VISTA, CA 91915-1361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A158412
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
11/19/2021
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