Organization
IMPAKT MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT MAJERNIK (VICE PRESIDENT)
(916) 844-7800
Entity
Organization
Contact information
Practice address
700 FREDERICK ST STE 301, SANTA CRUZ, CA 95062-2239
(831) 304-0700
(916) 436-9054
Mailing address
9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
(916) 844-7800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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