Individual
JACK JI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, FACMG
Contact information
Practice address
180 KIMBALL WAY, SOUTH SAN FRANCISCO, CA 94080-6218
(888) 268-6795
(608) 541-2450
Mailing address
180 KIMBALL WAY, SOUTH SAN FRANCISCO, CA 94080-6218
(888) 268-6795
(608) 541-2450
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
JIXXJ1
NY
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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