Organization
IMPAKT MEDICAL, LLC
Active
Other names
Impakt Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT MAJERNIK (OWNER / VICE PRESIDENT)
(916) 844-7800
Entity
Organization
Contact information
Practice address
9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
(916) 844-7800
(833) 227-8034
Mailing address
9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
(916) 844-7800
(833) 227-8034
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
99174
CA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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