Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 163203 | CA |
NPI | 1649832353 |
---|---|
Provider Name | Dr. Joyce So |
First Address | San Francisco, CA 94143 |
Second Address | San Francisco, CA 94143-2350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2019 |
Last Update Date | 02/07/2019 |