Mayorga, Aglaed Veronica
Mayorga, Aglaed Veronica is an individual health care provider with primary practice located at 5665 Wilshire Blvd # 1267 , Los Angeles CA 90036-3710. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Forensic, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Mayorga, Aglaed Veronica can be contacted via phone (562) 250-4452.Contact Information
Primary practice address
5665 Wilshire Blvd # 1267
Los Angeles CA 90036-3710
Phone: (562) 250-4452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 32765 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 32765 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32765 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 32765 | California |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 32765 | California |
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 | Nov 26th, 2025 - about last year |
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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