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Individual

JASON R. KORNBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3252 HOLIDAY CT STE 205, LA JOLLA, CA 92037-1808
(858) 677-9222
Mailing address
PO BOX 12008, LA JOLLA, CA 92039-2008
(858) 677-9222

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
A79691
CA
2084P0800X
Psychiatry Physician
A79691
CA

Other

Enumeration date
11/15/2006
Last updated
03/12/2026
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