MEDICARE: JUFER LIBRANDO RDHAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	32873	CA
2	124Q00000X	Dental Hygienist	1154	CA

General Provider Information

NPI Number	:	1336087956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUFER LIBRANDO RDHAP

Provider Business Mailing Address
First Line	:	29615 PEACOCK MOUNTAIN DR
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92584-7574
Country	:	US
Telephone Number	:	907-957-0671
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 LINCOLN BLVD APT 214
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6987
Country	:	US
Telephone Number	:	907-957-0671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ JUFER LIBRANDO RDHAP” Practice Location

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