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Contact Information

JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION
3252 HOLIDAY CT STE 205
LA JOLLA, CA92037-1808
 Phone: 858-677-9222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION

NPI # 1841440419
LBN Legal business name JASON R. KORNBERG, M.D., A PROFESSIONAL CORPORATION
Authorized official JASON KORNBERG - (C.E.O.)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2008
Last updated 03/12/2026 - About 3 months ago
Identifiers
CA License # A79691
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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