Organization
ECMO PRN LLC
Active
Other names
ECMO PRN LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON CHAN RN, MSN, CCRN-K (CEO)
(510) 274-0789
Entity
Organization
Contact information
Practice address
1246 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1212
(510) 274-0789
Mailing address
1246 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1212
(510) 274-0789
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
—
—
242T00000X
Perfusionist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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