Provider Demographics
NPI:1356967244
Name:LEYVA, ERIKA (LVN)
Entity type:Individual
Prefix:MISS
First Name:ERIKA
Middle Name:
Last Name:LEYVA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:LEYVA
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:7612 FOSTORIA ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3241
Mailing Address - Country:US
Mailing Address - Phone:562-922-2757
Mailing Address - Fax:
Practice Address - Street 1:1776 E CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90002-3050
Practice Address - Country:US
Practice Address - Phone:323-374-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269653164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse