| Richard Lloyd Kornberg, MD | |
|
110 West Pennsylvania Ave, San Diego, CA 92103-4016 | |
| (619) 298-7546 | |
| (619) 692-1397 |
| Full Name | Richard Lloyd Kornberg |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Dermatopathology |
| Location | 110 West Pennsylvania Ave, San Diego, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558456947 | NPI | - | NPPES |
| 00G139000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G139000 (California) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | G139000 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Lloyd Kornberg, MD 1821 Castellana Rd, La Jolla, CA 92037-3841 Ph: (858) 459-8874 | Richard Lloyd Kornberg, MD 110 West Pennsylvania Ave, San Diego, CA 92103-4016 Ph: (619) 298-7546 |
Somaira Nowsheen, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 8899 University Center Ln Ste 350, San Diego, CA 92122 Phone: 858-657-8322 | |
Dr. Stephen Erik Hemperly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103 Phone: 619-298-9809 Fax: 619-298-9823 | |
Dr. Ghada K Kassab, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4606 Mission Bay Dr, San Diego, CA 92109 Phone: 858-273-2726 Fax: 858-273-2725 | |
Dr. Vikas Shrivastava, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-251-7471 | |
Kathleen Kramer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 196-532-6400 | |
Dr. Michelle Terez Pelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103 Phone: 619-542-0013 Fax: 619-542-0559 | |
Dr. Jamison Derek Feramisco, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8898 Navajo Rd # C-349, San Diego, CA 92119 Phone: 619-650-5476 |