Healthcare Provider Details

I. General information

NPI: 1740101971
Provider Name (Legal Business Name): LEYVA PSYCHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21841 OCEANVIEW LN
HUNTINGTON BEACH CA
92646-8270
US

IV. Provider business mailing address

21841 OCEANVIEW LN
HUNTINGTON BEACH CA
92646-8270
US

V. Phone/Fax

Practice location:
  • Phone: 714-862-2418
  • Fax:
Mailing address:
  • Phone: 714-862-2418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JESUS MANUEL LEYVA
Title or Position: OWNER
Credential: PSYD
Phone: 714-862-2418