Organization
KORY STOTESBERY DO, INC.
Active
Other names
SF Bay Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORY STOTESBERY DO (PRESIDENT)
(925) 322-0418
Entity
Organization
Contact information
Practice address
1501 N BROADWAY, SUITE 200, WALNUT CREEK, CA 94596-4296
(925) 322-0418
Mailing address
1501 N BROADWAY, SUITE 200, WALNUT CREEK, CA 94596-4296
(925) 322-0418
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
20A12798
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
20A12798
CA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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