IndividualActive
Jianbo Song, PHD
NPI 1043655640 · Clinical Cytogenetics Physician · San Jose, CA
Provider details
- NPI number
- 1043655640
- Entity type
- Individual
- Primary specialty
- Clinical Cytogenetics PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- MTO666 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5755 Cottle Rd
Building 2 Genetics
San Jose, CA 95123-3640
Phone: (408) 972-3330
Approximate (ZIP-level) locationGet directions
Mailing address
3145 Purdue Ave
Los Angeles, CA 90066-1405
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2013-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.