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Individual

DR. ADVA KORNBLIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-7225
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7225

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A137893
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
04/04/2013
Last updated
10/03/2022
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