Richard Lloyd Kornberg
Dermatologist Dermatopathologist
110 West Pennsylvania Ave
San Diego
, California 92103-4016
Richard Lloyd Kornberg
Dermatologist Dermatopathologist
110 West Pennsylvania Ave
San Diego
, California 92103-4016
(858) 459-8884
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Richard Lloyd Kornberg
- 1821 Castellana Rd
- La Jolla, CA
- Zip : 92037-3841
- Fax : (858) 459-8884
- Phone : (858) 459-8874
Second Address
- Richard Lloyd Kornberg
- 110 West Pennsylvania Ave
- San Diego, CA
- Zip : 92103-4016
- Fax : (619) 692-1397
- Phone : (619) 298-7546
Reviews
FAQs
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Is Richard Lloyd Kornberg a sole practitioner?
Is Richard Lloyd Kornberg accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | G139000 | CA |
| Y | 207ND0900X | Dermatopathologist | G139000 | CA |
National Provider Identifier
| NPI | 1558456947 |
|---|---|
| Provider Name | Richard Lloyd Kornberg |
| First Address | La Jolla, CA 92037-3841 |
| Second Address | San Diego, CA 92103-4016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 05/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G139000 | (05) | CA |
| A39112 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.