| Olive Crest | |
|
16911 Bellflower Blvd Bellflower CA 90706-5903 | |
| (562) 866-8956 | |
| (562) 866-4158 |
| Full Name | Olive Crest |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16911 Bellflower Blvd, Bellflower, California |
| Authorized Official Name and Position | Donald A. Verleur (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7145435437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Crest 2130 E 4th St Suite 200 Santa Ana CA 92705-3818 Ph: (714) 543-5437 | Olive Crest 16911 Bellflower Blvd Bellflower CA 90706-5903 Ph: (562) 866-8956 |
| NPI Number | 1265569057 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 8224254255 |
|---|---|
| Medicare Enrollment ID | O20140728000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265569057 | NPI | - | NPPES |
| 7534A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kendra D Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154531259 PECOS PAC ID: 6204052236 Enrollment ID: I20140729002524 |
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