Individual
LAURA BOLIO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24330 NARBONNE AVE, LOMITA, CA 90717-1131
(310) 534-1083
(310) 257-0213
Mailing address
510 S VERMONT AVE FL 21, LOS ANGELES, CA 90020-1912
(310) 534-1083
(310) 257-0213
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
05/14/2025
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