Individual
ANDREA MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 W WASHINGTON BLVD, LOS ANGELES, CA 90016-1331
(323) 933-9186
Mailing address
5220 W WASHINGTON BLVD, LOS ANGELES, CA 90016-1331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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