Individual
AMY STERN KOBALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4184
(415) 499-0100
(415) 499-0290
Mailing address
5000 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4184
(415) 499-0100
(415) 499-0290
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G78305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G78305
LICENSE
CA
Enumeration date
07/10/2006
Last updated
09/17/2008
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