MEDICARE: DR. ARTHUR KORNHABER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	C50453	CA

General Provider Information

NPI Number	:	1033117387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR KORNHABER M.D.

Provider Business Mailing Address
First Line	:	108 FARNHAM RD
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-1759
Country	:	US
Telephone Number	:	805-640-0512
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 FARNHAM RD
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-1759
Country	:	US
Telephone Number	:	805-640-0512
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	02/26/2010

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