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Contact Information

OLIVE CREST
2130 E 4TH ST.
STE 200
SANTA ANA, CA92705
 Phone: 714-543-5437
 Fax: 714-543-5463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for OLIVE CREST

NPI Number 1548393929
LBN Legal business name OLIVE CREST
Authorized official DONALD VERLEUR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 06/04/2021 - About 5 years ago
Identifiers
CA Medicaid 30AU
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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