NPI 1932471125

Richard L.Kornberg, M.D.A Professional Corporation

Organisation Exclusive Provider Organization San Diego, CA

Practice location

Address: 110 W Pennsylvania Ave, San Diego, CA 92103-4016
Phone: (619) 298-7546
Fax: (619) 692-1397

Authorised official

Name: Edith L Kornberg
Title: Secretary/Treasurer
Phone: (858) 459-8874

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence G13900 (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1932471125
Entity type: Organization
NPI issued: 2 Feb 2012
Record last updated: 2 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.