Individual provider · Type 1 NPI

Marylou Santos Medina-Bolus, LVN

Licensed Vocational Nurse · San Francisco, CA

NPI number 1124934310 Active

Practice location

4150 Clement St
San Francisco, CA 94121-1563

Call (415) 221-4810 Map

Mailing address

7800 El Camino Real Apt 1118
Colma, CA 94014-3177

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X164833 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1124934310

Marylou Santos Medina-Bolus, LVN's National Provider Identifier is 1124934310, issued on Aug 19, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Francisco, CA. The record was last updated on Aug 19, 2026.