# IMPAKT MEDICAL, LLC

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

## Provider details

- **NPI number:** 1417429648
- **Authorized official:** BRYANT MAJERNIK (VICE PRESIDENT)
- **Authorized official phone:** (916) 844-7800

## Contact information

- **Practice address:** 700 FREDERICK ST STE 301, SANTA CRUZ, CA 95062-2239
- **Practice address phone:** (831) 304-0700
- **Practice address fax:** (916) 436-9054
- **Mailing address:** 9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
- **Mailing address phone:** (916) 844-7800

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2018
- **Last updated:** 12/28/2018