Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Clinical Psychologist services 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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