Individual
GEORGE E. VASQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064
(310) 273-4843
(310) 273-5056
Mailing address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064-5814
(310) 273-4843
(310) 273-5056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27561
CA
Other
Enumeration date
03/09/2017
Last updated
05/30/2019
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