Individual
CORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 POTRERO AVE BLDG 80-83, SAN FRANCISCO, CA 94110-2859
(628) 206-5252
(628) 206-7505
Mailing address
995 POTRERO AVE # WARD83, SAN FRANCISCO, CA 94110-2859
(628) 246-8458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A166923
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
A166923
CA
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
03/30/2018
Last updated
04/01/2026
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