Healthcare Provider Details

I. General information

NPI: 1437682051
Provider Name (Legal Business Name): RACHEL KNIGHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 SANTA MONICA BLVD STE 8
LOS ANGELES CA
90029-2480
US

IV. Provider business mailing address

5101 SANTA MONICA BLVD STE 8
LOS ANGELES CA
90029-2480
US

V. Phone/Fax

Practice location:
  • Phone: 424-369-7723
  • Fax: 585-516-3972
Mailing address:
  • Phone: 424-369-7723
  • Fax: 585-516-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number295446
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number295446
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA-198338
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberA-198338
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: