Individual provider · Type 1 NPI
Jianbo James Song, PhD
Clinical Cytogenetics Physician · San Jose, CA
NPI number
1043655640
Active
Practice location
5755 Cottle Rd, Building 2 Genetics
San Jose, CA 95123-3640
Mailing address
3145 Purdue Ave
Los Angeles, CA 90066-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Cytogenetics Physician Primary | 207SC0300X | MTO666 (CA) |
| Clinical Molecular Genetics Physician | 207SG0203X | MTP288 (CA) |
Clinical Cytogenetics Physician: A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.
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About NPI 1043655640
Jianbo James Song, PhD's National Provider Identifier is 1043655640, issued on May 8, 2013. The primary taxonomy on file is Clinical Cytogenetics Physician (207SC0300X), and the practice location is in San Jose, CA. The record was last updated on May 8, 2013.