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NPI Code Detail

MEDICARE: JOHN T. KNIGHT, MD, INC.

MEDICARE: JOHN T. KNIGHT, MD, INC.
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
1174400000XSpecialistA50533CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A50533OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1841444379
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN T. KNIGHT, MD, INC.
Provider Business Mailing Address
First Line : 8750 WILSHIRE BLVD STE 350
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2700
Country : US
Telephone Number : 310-684-3989
Fax Number : 310-358-9225
Provider Business Practice Location Address
First Line : 8750 WILSHIRE BLVD
Second Line : 350
City : BEVERLY HILLS
State : CA
Zip : 90211-2703
Country : US
Telephone Number : 310-684-3989
Fax Number : 310-358-9225
Authorized Official
Title or Position : OWNER
Name : DR. JOHN T KNIGHT
Credential :
Telephone Number : 310-684-3989
Provider Enumeration Date : 11/11/2008
Last Update Date : 02/28/2012

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