Organization
IMPAKT MEDICAL, LLC
Active
Other names
Impakt Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BATEH (PRESIDENT)
(916) 844-7800
Entity
Organization
Contact information
Practice address
1700 S EL CAMINO REAL STE 204, SAN MATEO, CA 94402-3048
(650) 844-8801
(916) 436-9054
Mailing address
9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
(408) 480-5811
(916) 436-9054
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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