Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason R. Kornberg, MD, a Professional Corporation

Organization Forensic Psychiatry Physician · NPI 1841440419

Jason R. Kornberg, MD, a Professional Corporation is a Forensic Psychiatry Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
3

Practice location Address checks out

3252 Holiday Ct Ste 205
LA Jolla, CA 92037-1808
Phone: (858) 677-9222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A79691 (CA)
Forensic Psychiatry Physician Taxonomy 2084F0202X · Licence A79691 (CA)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence A79691 (CA)

Record details

NPI number1841440419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Kornberg — C.E.O. · (858) 677-9222
NPI enumeratedSeptember 19, 2008
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing addressPo Box 12008, La Jolla, CA 92039-2008

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