Provider Demographics
NPI:1114145190
Name:FONDAS THERAPY BILLING
Entity Type:Organization
Organization Name:FONDAS THERAPY BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FONDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOWINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-344-2764
Mailing Address - Street 1:259 W ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-3101
Mailing Address - Country:US
Mailing Address - Phone:760-344-2764
Mailing Address - Fax:760-344-8240
Practice Address - Street 1:259 W ALLEN ST
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-3101
Practice Address - Country:US
Practice Address - Phone:760-344-2764
Practice Address - Fax:760-344-8240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty