Organization
JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON KORNBERG M.D. (C.E.O.)
(858) 677-9222
Entity
Organization
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
A79691
CA
2084P0015X
Psychosomatic Medicine Physician
A79691
CA
2084P0800X
Psychiatry Physician
Primary
A79691
CA
Other
Enumeration date
09/19/2008
Last updated
03/12/2026
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