ECMO PRN LLC NPI 1912537770

NPI Information

  • NPI: 1912537770
  • Provider Name: ECMO PRN LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 1246 MISSION RD
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Phone: (510) 274-0789

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NPI Details

ECMO PRN LLC is a customized equipment durable medical equipment medical supplies in South San Francisco, CA. ECMO PRN LLC NPI is 1912537770. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1246 MISSION RD
SOUTH SAN FRANCISCO, CA
ZIP 94080-212
Phone: (510) 274-0789

The provider's authorized official is Jason Chan .
The authorized official title is Ceo and has the following contact phone number (510) 274-0789.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 1/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care MedicineNo
2242T00000XPerfusionistNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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