Healthcare Provider Details

I. General information

NPI: 1013896372
Provider Name (Legal Business Name): MS. ANALIZETH LEIVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 E ANAHEIM ST
LONG BEACH CA
90813-3809
US

IV. Provider business mailing address

1627 E ANAHEIM ST
LONG BEACH CA
90813-3809
US

V. Phone/Fax

Practice location:
  • Phone: 818-600-7485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: