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Imelda Medina
NPI 1407456403 · Licensed Vocational Nurse · Los Angeles, CA
Imelda Medina is a Licensed Vocational Nurse provider in Los Angeles, CA (NPI 1407456403).
Provider details
- NPI number
- 1407456403
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 243336 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4920 Avalon Blvd
Los Angeles, CA 90011-4004
Phone: (323) 235-5035
Street-level locationGet directions
Mailing address
3747 W 107th St
Inglewood, CA 90303-1933
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Imelda Medina's NPI number?
- Imelda Medina's National Provider Identifier (NPI) is 1407456403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Imelda Medina's specialty?
- Imelda Medina is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Imelda Medina located?
- Imelda Medina's practice location on file with NPPES is 4920 Avalon Blvd, Los Angeles, CA 90011-4004.
- What is Imelda Medina's phone number?
- The practice phone number listed in the NPPES registry for Imelda Medina is (323) 235-5035.
- Is Imelda Medina's NPI active?
- Yes — Imelda Medina's NPI (1407456403) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.