Libia Bautista

NPI 1407488646 · on the registry since 2020

Practice

Address: 2604 S Vermont Ave Ste F
Los Angeles, CA 90007
Phone: (323) 731-3333
Organisation at this address: Farid Pakravan, D.D.S., Inc.
Cohen Sedgh, Manavi & Pakravan Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: Dental Assistant
126800000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California