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 1376681163

Heritage Clinic and the Community Assistance Program for Seniors is a Clinical Psychologist in Long Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

3939 Atlantic Ave Ste 103
Long Beach, CA 90807-3536
Phone: (562) 264-6001
Fax: (562) 264-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY17307 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Supports Brokerage Agency Taxonomy 251X00000X

Record details

NPI number1376681163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Garis — Program Director · (626) 577-8480
Other names Heritage Clinic & Community Assistance Programs For Seniors; Heritage Clinic & Community Assistance Programs For Seniors
NPI enumeratedFebruary 2, 2007
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address447 N El Molino Ave, Pasadena, CA 91101-1403

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