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

Licia Bravo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053253070

Licia Bravo is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone: (310) 825-9111
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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 number1053253070
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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