Provider Demographics
NPI:1235858978
Name:BOCAYA, LEILANI (LMT, CMT)
Entity type:Individual
Prefix:
First Name:LEILANI
Middle Name:
Last Name:BOCAYA
Suffix:
Gender:F
Credentials:LMT, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 ROYCROFT AVE FRNT HOUSE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3143
Mailing Address - Country:US
Mailing Address - Phone:808-308-0362
Mailing Address - Fax:
Practice Address - Street 1:1370 N ST ANDREWS PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8529
Practice Address - Country:US
Practice Address - Phone:808-308-0362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-17055-0225700000X
CA75212225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist