Organization
OLIVE CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD VERLEUR MBA (CEO)
(714) 543-5437
Entity
Organization
Contact information
Practice address
42580 CAROLINE CT STE A, PALM DESERT, CA 92211-9112
(760) 341-8613
Mailing address
2130 E 4TH ST, SANTA ANA, CA 92705-3818
(714) 856-7177
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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