Provider Demographics
NPI:1659081545
Name:VIRDIO, INC.
Entity Type:Organization
Organization Name:VIRDIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EVANGELIST
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-701-6822
Mailing Address - Street 1:3228 NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-4214
Mailing Address - Country:US
Mailing Address - Phone:202-701-6822
Mailing Address - Fax:
Practice Address - Street 1:3228 NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-4214
Practice Address - Country:US
Practice Address - Phone:202-701-6822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty