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

Libia Elena Bautista

Individual provider Dental Assistant · NPI 1407488646

Libia Elena Bautista is a Dental Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

2604 S Vermont Ave Ste F
Los Angeles, CA 90007-2298
Phone: (323) 731-3333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence RDA91293 (CA)

Record details

NPI number1407488646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address3857 Durfee Ave, El Monte, CA 91732-2505

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