Healthcare Provider Details

I. General information

NPI: 1619450921
Provider Name (Legal Business Name): ROBIN KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 N FREEMAN ST APT 3
OCEANSIDE CA
92054-2442
US

IV. Provider business mailing address

1728 BANCROFT AVE
SAN FRANCISCO CA
94124-2697
US

V. Phone/Fax

Practice location:
  • Phone: 760-583-6693
  • Fax:
Mailing address:
  • Phone: 415-822-1707
  • Fax: 415-346-7472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT110238
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT124616
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: