Healthcare Provider Details

I. General information

NPI: 1386235125
Provider Name (Legal Business Name): VERITAS TESTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 E HOLT AVE RM 301
POMONA CA
91767-5865
US

IV. Provider business mailing address

1500 ROSECRANS AVE STE 500
MANHATTAN BEACH CA
90266-3771
US

V. Phone/Fax

Practice location:
  • Phone: 310-957-5524
  • Fax: 323-916-4529
Mailing address:
  • Phone: 425-647-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PETER JOHN GEORGIO
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 714-315-4253