Mayorga, Aglaed Veronica
Mayorga, Aglaed Veronica is an individual health care provider with primary practice located at 5550 Wilshire Blvd Apt 417 , Los Angeles CA 90036-4861. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Mayorga, Aglaed Veronica can be contacted via phone (562) 445-9900.Contact Information
Primary practice address
5550 Wilshire Blvd Apt 417
Los Angeles CA 90036-4861
Phone: (562) 445-9900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32765 | California |
Behavioral Health & Social Service Providers / Family | 103TF0000X | 32765 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 32765 | California |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 32765 | California |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 32765 | California |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Forensic | 103TF0200X |
Profile Details
NPI number | 1609165265 |
---|---|
LBN Legal business name | Mayorga, Aglaed Veronica |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2011 |
Last updated | Mar 8th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609165265 | NPPES |
California | Other | 15483734 | CAQH |
California | Other | 32765 | CAQH |
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