Individual
MR. ERIK KOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCO
Contact information
Practice address
9663 TIERRA GRANDE ST STE 201, SAN DIEGO, CA 92126-4570
(858) 695-2021
(858) 695-2712
Mailing address
9663 TIERRA GRANDE ST STE 201, SAN DIEGO, CA 92126-4570
(858) 695-2021
(858) 695-2712
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164466488
—
CA
Enumeration date
04/09/2018
Last updated
04/09/2018
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