Organization
MYGENBIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE YUM (CFO)
(408) 472-4771
Entity
Organization
Contact information
Practice address
160 E TASMAN DR # 210, SAN JOSE, CA 95134-1619
(669) 307-3650
Mailing address
160 E TASMAN DR # 210, SAN JOSE, CA 95134-1619
(669) 307-3650
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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