Fonsworth, Peolia Kansas

Fonsworth, Peolia Kansas is an sole proprietor health care provider with primary practice located at 1000 W Carson St , Torrance CA 90502-2004. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Fonsworth, Peolia Kansas can be contacted via phone (310) 222-2345.

Contact Information

Primary practice address
1000 W Carson St Torrance CA 90502-2004
Phone: (310) 222-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A132680 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X A132680 California

Profile Details

NPI number 1639412091
LBN Legal business name Fonsworth, Peolia Kansas
Credentials M.D., M.B.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2013
Last updated Jun 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers