Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heritage Clinic and the Community Assistance Program for Seniors

Organization Clinical Psychologist · NPI 1093049546

Heritage Clinic and the Community Assistance Program for Seniors is a Clinical Psychologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

3600 Wilshire Blvd Ste 2200
Los Angeles, CA 90010-2632
Phone: (213) 382-4400
Fax: (213) 382-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Supports Brokerage Agency Taxonomy 251X00000X

Record details

NPI number1093049546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vatche Kelartinian — Ceo · (626) 577-8480
Other names Heritage Los Angeles; Heritage- Mid City
NPI enumeratedSeptember 30, 2009
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address447 N El Molino Ave, Pasadena, CA 91101-1403

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