person
Dr. Michael Kornberg, MD
Child & Adolescent Psychiatry Physician in San Diego, California
NPI 1174786834

Michael Kornberg is a Child & Adolescent Psychiatry Physician based in San Diego, CA and is specialized in Child & Adolescent Psychiatry. Michael Kornberg practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Michael Kornberg is 1174786834 and holds a License No. A101909 (California).

The current practice location address for Michael Kornberg is 12625 High Bluff Dr, San Diego, CA and can be reached out via phone at 858-279-1223 and via fax at 858-509-4789.

Location: 12625 High Bluff Dr, San Diego, CA, 92130-2052
person
Provider Profile Details
NPI Number
1174786834
Provider Name
Michael Kornberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12625 High Bluff Dr, San Diego, CA, 92130-2052
Phone Number
858-279-1223
Fax Number
858-509-4789
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-1691313 01 CA RADY CHILDREN'S HOSPITAL SAN DIEGO, OUTPATIENT PSYCHIATRY
institution
Provider Business Practice Location Address Details
Address
12625 High Bluff Dr
City
State
Zip
92130-2052
Phone Number
858-279-1223
Fax Number
858-509-4789
person
Provider Business Mailing Address Details
Address
12625 High Bluff Dr
City
State
Zip
92130-2052
Phone Number
858-279-1223
Fax Number
858-509-4789
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
A101909 (California)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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