Individual
DR. JIANBO JAMES SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5755 COTTLE RD, BUILDING 2 GENETICS, SAN JOSE, CA 95123-3640
(408) 972-3330
Mailing address
3145 PURDUE AVE, LOS ANGELES, CA 90066-1405
(310) 869-5572
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
MTO666
CA
207SG0203X
Clinical Molecular Genetics Physician
MTP288
CA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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