Provider Demographics
NPI:1386235125
Name:VERITAS TESTING INC
Entity type:Organization
Organization Name:VERITAS TESTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GEORGIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-315-4253
Mailing Address - Street 1:1500 ROSECRANS AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3771
Mailing Address - Country:US
Mailing Address - Phone:425-647-4067
Mailing Address - Fax:
Practice Address - Street 1:1444 E HOLT AVE RM 301
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5865
Practice Address - Country:US
Practice Address - Phone:310-957-5524
Practice Address - Fax:323-916-4529
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERITAS TESTING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-02
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty