Maria Elena Mayoral, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A26204 Issued in CA

Practice address

1527 Wilshire Blvd Ste 101
Los Angeles, CA 90017-2205

Phone

(213) 413-1396

Fax

(213) 413-7782

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maria E Holloman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1669685012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 WILSHIRE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172205",
            "telephone_number": "213-413-1396",
            "fax_number": "213-413-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 WILSHIRE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172205",
            "telephone_number": "213-413-1396",
            "fax_number": "213-413-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORAL",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A26204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "HOLLOMAN",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saul Mayo Jr.
• Patrick Ryan Mayock, MD
• Jonathan Anthony Mayora Arevalo
• Diana Mayoral
• Iris Mayoral
• Aglaed Veronica Mayorga, PSYD
• Andrea Mayorga
• April Emily Mayorga, LMFT
• Lenny Mayorga, DDS
• Mireya Noemi Mayorga

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.