Individual
DR. MICHAEL KORNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12625 HIGH BLUFF DR, SUITE 305, SAN DIEGO, CA 92130-2052
(858) 279-1223
(858) 509-4789
Mailing address
12625 HIGH BLUFF DR, SUITE 305, SAN DIEGO, CA 92130-2052
(858) 279-1223
(858) 509-4789
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A101909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-1691313
RADY CHILDREN'S HOSPITAL SAN DIEGO, OUTPATIENT PSYCHIATRY
CA
Enumeration date
07/03/2008
Last updated
06/16/2010
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