Individual provider · Type 1 NPI

Imelda Medina

Licensed Vocational Nurse · Los Angeles, CA

NPI number 1407456403 Active

Practice location

4920 Avalon Blvd
Los Angeles, CA 90011-4004

Call (323) 235-5035 Map

Mailing address

3747 W 107th St
Inglewood, CA 90303-1933

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X243336 (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 1407456403

Imelda Medina's National Provider Identifier is 1407456403, issued on Oct 28, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 28, 2020.