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IMELDA MEDINA
NPI 1407456403
Licensed Vocational Nurse in Los Angeles, CA

Active since October 28, 2020
4920 AVALON BLVD, LOS ANGELES, CA 90011(323) 235-5035 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imelda Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMELDA MEDINA (NPI 1407456403) is an individual licensed vocational nurse in Los Angeles, California, licensed in California (243336) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1407456403
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameIMELDA MEDINA
Location Address4920 AVALON BLVDLos Angeles, CA 90011-4004
Mailing Address3747 W 107th StInglewood, CA 90303-1933 · (310) 213-6258
Phone(323) 235-5035
Sole ProprietorYes
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1407456403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 243336
Definition
A licensed vocational nurse 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 responsibilities vary among the states.
4920 AVALON BLVD, Los Angeles, CA 90011
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ZANDRA L. ELLIS
Marriage & Family Therapist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
KAYLYNN PATEL
Student in an Organized Health Care Education/Training Program
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
KEMIT B JOHNSON
Peer Specialist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 214-6008
MRS. PATRICIA ANN WILLIAMS
Marriage & Family Therapist
4920 AVALON BLVD, BAART
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
ANDREA SPILLING
Marriage & Family Therapist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
ERICA NUNEZ
Counselor (Addiction (Substance Use Disorder))
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
MR. LOUIE JOSEPH DE LA CRUZ
Counselor (Addiction (Substance Use Disorder))
4920 AVALON BLVD, BAART CLINIC
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
SHERIE HOWARD
Case Management
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imelda Medina's NPI number?

The NPI number for Imelda Medina is 1407456403. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Imelda Medina located?

Imelda Medina practices at 4920 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 235-5035.

What is Imelda Medina's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Imelda Medina was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.