MEDICARE: CYRILLE GIANNA MARCELINO

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
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN95449676	CA

General Provider Information

NPI Number	:	1992639652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYRILLE GIANNA MARCELINO

Provider Business Mailing Address
First Line	:	22821 SHELL DR
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-4743
Country	:	US
Telephone Number	:	844-562-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 REDONDO AVE FL 5
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2325
Country	:	US
Telephone Number	:	844-562-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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