DR. MICHAEL KORNBERG M.D. NPI 1174786834

NPI Information

NPI: 1174786834
Provider Name: DR. MICHAEL KORNBERG, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Specialization: Child & Adolescent Psychiatry
Entity Type: Individual
Address: 12625 HIGH BLUFF DR
SUITE 305
SAN DIEGO, CA
ZIP 92130
Phone: (858) 279-1223

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NPI Details

DR. Michael Kornberg, M.D. is a child and adolescent psychiatry psychiatry neurology in San Diego, CA. The provider is 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. DR. Michael Kornberg, M.D. NPI is 1174786834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12625 HIGH BLUFF DR
SUITE 305
SAN DIEGO, CA
ZIP 92130-052
Phone: (858) 279-1223
Fax: (858) 509-4789

The enumeration date for this NPI number is 7/3/2008 and was last updated on 6/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	A101909	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-1691313	OTHER	CALIFORNIA	RADY CHILDREN'S HOSPITAL SAN DIEGO, OUTPATIENT PSYCHIATRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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