Healthcare Provider Details

I. General information

NPI: 1316637325
Provider Name (Legal Business Name): SASKIA ASHLEN RECHIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 WHIPPLE AVE
REDWOOD CITY CA
94062-2843
US

IV. Provider business mailing address

201 MARSHALL ST APT 516
REDWOOD CITY CA
94063-1678
US

V. Phone/Fax

Practice location:
  • Phone: 650-799-8991
  • Fax:
Mailing address:
  • Phone: 707-495-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License NumberQ55561584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: