Organization
MARTIN KERNBERG MD INC
Active
Organization
MARTIN KERNBERG MD INC
Active
Other names
Jefferson Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN KERNBERG MD (OWNER)
(707) 464-1989
Entity
Organization
Contact information
Practice address
1225 MARSHALL ST, STE 18, CRESCENT CITY, CA 95531-2281
(707) 464-1989
(707) 464-9593
Mailing address
1327 WALLER ST, SAN FRANCISCO, CA 94117-2920
(707) 464-1989
(707) 464-9593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62629
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
62629
CA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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