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NPI Code Detail

MEDICARE: MADELYN GRACE KNOX

MEDICARE:   MADELYN GRACE KNOX
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
1106S00000XBehavior TechnicianBACB1412827CA

General Provider Information

NPI Number : 1649122623
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN GRACE KNOX
Provider Business Mailing Address
First Line : 2204 S EL CAMINO REAL STE 220
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2204 S EL CAMINO REAL STE 220
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6376
Country : US
Telephone Number : 619-782-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ MADELYN GRACE KNOX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.