Provider Demographics
NPI:1831563089
Name:MCKNIGHT, ORAMINA
Entity type:Individual
Prefix:MRS
First Name:ORAMINA
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9854 NATIONAL BLVD
Mailing Address - Street 2:#427
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2713
Mailing Address - Country:US
Mailing Address - Phone:323-236-4815
Mailing Address - Fax:
Practice Address - Street 1:9854 NATIONAL BLVD
Practice Address - Street 2:#427
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-2713
Practice Address - Country:US
Practice Address - Phone:323-236-4815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor