Provider Demographics
NPI:1336241686
Name:VERITAS, CATHERINE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:VERITAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12012 WILSHIRE BOULEVARD
Mailing Address - Street 2:#204
Mailing Address - City:WEST LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1203
Mailing Address - Country:US
Mailing Address - Phone:310-826-3385
Mailing Address - Fax:310-207-4220
Practice Address - Street 1:12012 WILSHIRE BLVD
Practice Address - Street 2:#204
Practice Address - City:WEST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1207
Practice Address - Country:US
Practice Address - Phone:310-826-3385
Practice Address - Fax:310-207-4220
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC14909Medicare ID - Type Unspecified