MR. ERIK KOLBERG


Address: 9663 Tierra Grande St Ste 201, San Diego, CA 92126-4570
Phone: 8586952021

MR. ERIK KOLBERG (NPI# 1912404609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912404609
Entity Type Individual
Full Name MR. ERIK KOLBERG
Credential BCO
Practice Address 9663 Tierra Grande St Ste 201
San Diego
CA 92126-4570
Practice Telephone 8586952021
Practice Fax Number 8586952712
Mailing Telephone 8586952021
Mailing Fax Number 8586952712
Enumeration Date 2018-04-09
Last Update Date 2018-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1700X Technician/Technologist
Specialization: Ocularist
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1164466488 05

Office Location

Street Address 9663 TIERRA GRANDE ST STE 201
City SAN DIEGO
State CA
Zip Code 92126-4570

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730741299 Eye Connection Optometry, Inc Optometrist 9516 Miramar Road, San Diego, CA 92126 2019-07-05
1811450935 Anne Phabmixay Student in an Organized Health Care Education/Training Program Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 2019-04-08
1679035588 Emily Nguyen Registered Nurse 8210 Elston Place, San Diego, CA 92126 2019-04-01
1558832139 Dana Douglas-hiley Speech-Language Pathologist 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 2018-12-08
1275022873 Breeann Nicole Poulson Speech-Language Pathologist 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 2018-05-09
1659878882 My Phuong Thi Phan Registered Nurse 10938 Hyades Way, San Diego, CA 92126 2018-04-13
1083132153 Ruth Tamar Morales Occupational Therapist Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 2017-09-08
1487184339 Chelsea Irene Johnson Marriage & Family Therapist 8670 New Salem St. Unit 106, San Diego, CA 92126 2017-06-14
1336508506 Brenda L. Bebal Nurse Practitioner 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 2016-02-17
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
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Taxonomy Information

Taxonomy Code 156FX1700X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ocularist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144304544 Daniel T. Acosta Technician/Technologist 635 C St, Apt. 502, San Diego, CA 92101-5381 2006-10-24
1538437835 California Eye Prosthetics, Inc Technician/Technologist 635 C St, Suite 502, San Diego, CA 92101-5318 2011-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881158210 Integrated Ocular Prosthetics Technician/Technologist 11419 N Fowler Ave, Clovis, CA 93619-9544 2019-01-30
1144795105 Integrated Ocular Prosthetics Inc Technician/Technologist 1324 W. Center Ave, Visalia, CA 93291-5804 2018-10-05
1588139547 Integrated Ocular Prosthetics Inc Technician/Technologist 5340 Elvas Ave Ste 700, Sacramento, CA 95819-2380 2018-10-05
1841321478 John A Kennedy Technician/Technologist 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 2007-03-07
1154498723 Steven R Young Technician/Technologist 411 30th Street, Ste 512, Oakland, CA 94609-3303 2006-11-29
1962977926 Integrated Ocular Prosthetics Inc Technician/Technologist 700 Cass St Ste 126, Monterey, CA 93940-2921 2018-10-05
1609356898 Dylan Bond Technician/Technologist 1736 Professional Dr, Sacramento, CA 95825-2105 2018-08-16
1023500485 Antonio Louis Alcorta I Technician/Technologist 1324 W Center Ave, Visalia, CA 93291 2018-06-01
1609367242 Ricardo Angeles Technician/Technologist 435 N Bedford Dr Ste 411, Beverly Hills, CA 90210-4340 2018-05-18
1811262413 Antonio Alcorta Technician/Technologist 2155 W March Ln, Suite 3f, Stockton, CA 95207-6420 2012-03-14
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Competitor

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City SAN DIEGO
Zip Code 92126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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