Individual provider · Type 1 NPI

Imelda Medina, LVN

Licensed Vocational Nurse · South San Francisco, CA

NPI number 1972927424 Active

Practice location

226 Alta Mesa Dr
South San Francisco, CA 94080-3002

Fax (650) 873-8713

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	259253 (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 1972927424

Imelda Medina, LVN's National Provider Identifier is 1972927424, issued on Feb 4, 2014. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in South San Francisco, CA. The record was last updated on Sep 29, 2026.