Organization
HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS
Active
Other names
Heritage Clinic Lancaster
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VATCHE KELARTINIAN MBA (CFO)
(626) 577-8480
Entity
Organization
Contact information
Practice address
43807 10TH ST W STE D, LANCASTER, CA 93534-4805
(661) 575-9365
(661) 575-9502
Mailing address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
(626) 577-8480
(626) 577-8978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY19717
CA
103TC0700X
Clinical Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
04/18/2007
Last updated
02/17/2022
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