IndividualActive
Jason Kornberg, M.D.
NPI 1073685764 · Forensic Psychiatry Physician · La Jolla, CA
Provider details
- NPI number
- 1073685764
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A79691 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3252 Holiday Ct Ste 205
La Jolla, CA 92037-1808
Phone: (858) 677-9222
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12008
La Jolla, CA 92039-2008
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.