# IMPAKT MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Impakt Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093529463
- **Authorized official:** MR. JASON BATEH (PRESIDENT)
- **Authorized official phone:** (916) 844-7800

## Contact information

- **Practice address:** 1700 S EL CAMINO REAL STE 204, SAN MATEO, CA 94402-3048
- **Practice address phone:** (650) 844-8801
- **Practice address fax:** (916) 436-9054
- **Mailing address:** 9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
- **Mailing address phone:** (408) 480-5811
- **Mailing address fax:** (916) 436-9054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025