Individual provider · Type 1 NPI

Gino Satoshi Melillo, FNP PMHNP

Family Nurse Practitioner · Redondo Beach, CA

NPI number 1306524343 Active

Practice location

514 N Prospect Ave Ste 103
Redondo Beach, CA 90277-3037

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95022918 (CA)
Family Nurse Practitioner Primary 363LF0000XNP95022918 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1306524343

Gino Satoshi Melillo, FNP PMHNP's National Provider Identifier is 1306524343, issued on Jul 10, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redondo Beach, CA. The record was last updated on Nov 1, 2023.