| Heritage Senior Services | |
|
253 N San Gabriel Blvd Ste 100 Pasadena CA 91107-3429 | |
| (626) 577-8480 | |
| (626) 577-8978 |
| Full Name | Heritage Senior Services |
|---|---|
| Speciality | Counselor |
| Location | 253 N San Gabriel Blvd Ste 100, Pasadena, California |
| Authorized Official Name and Position | Vatche Kelartinian (CEO) |
| Authorized Official Contact | 6265778480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Senior Services 447 N El Molino Ave Pasadena CA 91101-1403 Ph: (626) 577-8480 | Heritage Senior Services 253 N San Gabriel Blvd Ste 100 Pasadena CA 91107-3429 Ph: (626) 577-8480 |
| NPI Number | 1932477932 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 7416178942 |
|---|---|
| Medicare Enrollment ID | O20141024001474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932477932 | NPI | - | NPPES |
| Provider Name | Cynthia L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235185653 PECOS PAC ID: 0244224392 Enrollment ID: I20060127000519 |
| Provider Name | Robin M Kietzman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508972753 PECOS PAC ID: 7618972167 Enrollment ID: I20060915000584 |
| Provider Name | Lilian Badovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598959363 PECOS PAC ID: 8527122282 Enrollment ID: I20090213000052 |
| Provider Name | Janet Anderson Yang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386690469 PECOS PAC ID: 8224217666 Enrollment ID: I20110201000138 |
| Provider Name | Jennifer Dergregorian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952650038 PECOS PAC ID: 3375867955 Enrollment ID: I20150131000062 |
| Provider Name | Grace S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669507851 PECOS PAC ID: 3577888171 Enrollment ID: I20150202000878 |
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