Organization
HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS
Active
Other names
Heritage Clinic Comm for Seniors
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VATCHE KELARTINIAN MBA (CEO)
(626) 577-8480
Entity
Organization
Contact information
Practice address
253 N SAN GABRIEL BLVD STE 100, PASADENA, CA 91107-3429
(626) 577-8480
(626) 577-8978
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
Primary
2255549
CA
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/17/2006
Last updated
07/22/2024
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