| Olive Crest | |
|
39830 Portola Ave Palm Desert CA 92260-0623 | |
| (951) 686-8500 | |
| Not Available |
| Full Name | Olive Crest |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39830 Portola Ave, Palm Desert, California |
| Authorized Official Name and Position | Donald Verleur (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7145435437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Crest 2130 E 4th St Santa Ana CA 92705-3818 Ph: (714) 543-5437 | Olive Crest 39830 Portola Ave Palm Desert CA 92260-0623 Ph: (951) 686-8500 |
| NPI Number | 1104494814 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104494814 | NPI | - | NPPES |
| 33Q8 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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