Individual provider · Type 1 NPI

Divine Salas

Licensed Vocational Nurse · San Bruno, CA

NPI number 1376232637 Active

Practice location

901 Sneath Ln Ste 105
San Bruno, CA 94066-2415

Call (855) 223-7123 Map

Fax (619) 374-7134

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X748302 (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 1376232637

Divine Salas's National Provider Identifier is 1376232637, issued on May 3, 2023. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Bruno, CA. The record was last updated on May 4, 2025.