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NPI Code Detail

MEDICARE: TRAVONE KNIGHT

MEDICARE: TRAVONE KNIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse734179CA

General Provider Information

NPI Number : 1912869694
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVONE KNIGHT
Provider Business Mailing Address
First Line : 12070 TELEGRAPH RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-3771
Country : US
Telephone Number : 562-777-7500
Fax Number :
Provider Business Practice Location Address
First Line : 8921 CALIFORNIA AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3013
Country : US
Telephone Number : 323-487-5002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ TRAVONE KNIGHT ” Practice Location

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