Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Bautista, BA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255963872

Laura Bautista, BA is a Student in an Organized Health Care Education/Training Program in Venice, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-2623
Phone: (310) 392-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255963872
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address204 Hampton Dr, Venice, CA 90291-2623

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