Individual provider · Type 1 NPI
Fotine Mamais
Gerontology Clinical Nurse Specialist · Redondo Beach, CA
NPI number
1073462016
Active
Practice location
502 S Francisca Ave
Redondo Beach, CA 90277-4241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 3466 (CA) |
Gerontology Clinical Nurse Specialist: Definition to come...
About NPI 1073462016
Fotine Mamais's National Provider Identifier is 1073462016, issued on Jan 23, 2026. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Redondo Beach, CA. The record was last updated on Jan 23, 2026.