DR. AGLAED VERONICA MAYORGA PSYD NPI 1609165265

NPI Information

NPI: 1609165265
Provider Name: DR. AGLAED VERONICA MAYORGA, PSYD
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
5550 WILSHIRE BLVD APT 417
LOS ANGELES, CA
ZIP 90036
Phone: (562) 445-9900
Get Directions

DR. Aglaed Veronica Mayorga, PSYD is a forensic psychologist in Los Angeles, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Aglaed Veronica Mayorga, PSYD NPI is 1609165265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5550 WILSHIRE BLVD APT 417
LOS ANGELES, CA
ZIP 90036-861
Phone: (562) 445-9900

The enumeration date for this NPI number is 4/5/2011 and was last updated on 3/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	32765	CALIFORNIA	No
2	103TF0000X	Psychologist	Family	32765	CALIFORNIA	No
3	103T00000X	Psychologist		32765	CALIFORNIA	No
4	103TF0200X	Psychologist	Forensic	32765	CALIFORNIA	No
5	103TP2701X	Psychologist	Group Psychotherapy	32765	CALIFORNIA	No
6	171M00000X	Case Manager/Care Coordinator				No
7	103TF0200X	Psychologist	Forensic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15483734	OTHER	CALIFORNIA	CAQH
2	32765	OTHER	CALIFORNIA	PSY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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