Individual
JACK KORNFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD., SACRAMENTO, CA 95817
(916) 734-8571
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A194227
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
05/16/2024
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