| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| 251X00000X | Supports Brokerage | (NU) | Secondary |
| 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 | Grace S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669507851 PECOS PAC ID: 3577888171 Enrollment ID: I20150202000878 |
| Provider Name | Carlos R Santell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871073239 PECOS PAC ID: 4082000625 Enrollment ID: I20220406002270 |
| Provider Name | Norma Alicia Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548730807 PECOS PAC ID: 5496136210 Enrollment ID: I20220725002485 |
| Provider Name | Joseph Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548985914 PECOS PAC ID: 4486097961 Enrollment ID: I20240212003627 |
| Provider Name | Christopher J Patton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487267936 PECOS PAC ID: 9133664584 Enrollment ID: I20240710003141 |
| Provider Name | Ching Ying Lin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699334227 PECOS PAC ID: 4688153687 Enrollment ID: I20260210002102 |
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