| NPI | 1912537770 |
|---|---|
| Doing Business As | ECMO PRN LLC |
| Entity Type | Organization |
| Authorized Contact | JASON CHAN CEO 510-274-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 242T00000X Perfusionist |
| 163WC0200X Registered Nurse, Critical Care Medicine | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |