# IMPEDIMED INC

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

## Provider details

- **NPI number:** 1659685386
- **Authorized official:** MR. JOHN SIPES HONEYCUTT BSME (SENIOR VICE PRESIDENT GLOBAL OPS)
- **Authorized official phone:** (858) 412-0200

## Contact information

- **Practice address:** 5959 CORNERSTONE CT W STE 100, SAN DIEGO, CA 92121-3764
- **Practice address phone:** (858) 412-0200
- **Practice address fax:** (858) 558-8540
- **Mailing address:** 5959 CORNERSTONE CT W STE 100, SAN DIEGO, CA 92121-3764
- **Mailing address phone:** (858) 412-0200
- **Mailing address fax:** (858) 558-8540

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 08/05/2010