Individual provider · Type 1 NPI
Sunny Makolo
Psychiatric/Mental Health Nurse Practitioner · Gardena, CA
NPI number
1003467879
Active
Practice location
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Mailing address
2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Other practice locations
- 2405 Stonewall St, Greenville, TX 75401-3349 · (903) 454-3300
- 2550 W Union Hills Dr, Phoenix, AZ 85027-5163 · (480) 424-5228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 250872 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 844501 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003467879
Sunny Makolo's National Provider Identifier is 1003467879, issued on Sep 24, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Aug 24, 2026.