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Organization
OLIVE CREST
Active
Organization
OLIVE CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD A. VERLEUR MBA (CHIEF EXECUTIVE OFFICER)
(714) 543-5437
Entity
Organization
Contact information
Practice address
16911 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5903
(562) 866-8956
(562) 866-4158
Mailing address
2130 E 4TH ST, SUITE 200, SANTA ANA, CA 92705-3818
(714) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7534A
—
CA
Enumeration date
02/27/2007
Last updated
03/04/2024
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