# IMPAKT MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376143479
- **Authorized official:** BRYANT P MAJERNIK (VICE PRESIDENT)
- **Authorized official phone:** (916) 844-7800

## Contact information

- **Practice address:** 14125 CAPRI DR STE 8, LOS GATOS, CA 95032-1516
- **Practice address phone:** (408) 331-7773
- **Practice address fax:** (833) 227-8034
- **Mailing address:** 9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
- **Mailing address phone:** (408) 480-5811
- **Mailing address fax:** (833) 227-8034

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2020
- **Last updated:** 10/28/2020