Olive Crest

LBN: Olive Crest
Olive Crest is an health care organization with primary practice located at 39830 Portola Ave , Palm Desert CA 92260-0623. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Olive Crest can be contacted via phone (951) 686-8500, or through Verleur, Donald via phone (714) 543-5437.

Contact Information

Primary practice address
39830 Portola Ave Palm Desert CA 92260-0623
Phone: (951) 686-8500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Verleur, Donald MBA
Phone: (714) 543-5437

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104494814
LBN Legal business name Olive Crest
DBA Doing business as
Authorized official Verleur, Donald MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2021
Last updated Dec 15th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104494814 NPPES
California MEDICAID 33Q8

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