Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

George E. Vasquez Jr., PSYD

Individual provider Clinical Psychologist · NPI 1215478383

George E. Vasquez Jr., PSYD is a Clinical Psychologist in Los Angeles, California. Qualified in 2012, 14 years ago. Practices with Executive Mental Health, Inc, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

11835 W Olympic Blvd Ste 1265E
Los Angeles, CA 90064
Phone: (310) 273-4843
Fax: (310) 273-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1695 S San Jacinto Ave, San Jacinto, CA 92583-5103 — (951) 330-3100

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY27561 (CA)

Record details

NPI number1215478383
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESMay 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Executive Mental Health, Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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