Cys Olive Crest Bhos Santa Ana | |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 | |
(714) 361-4386 | |
(714) 543-5463 |
Full Name | Cys Olive Crest Bhos Santa Ana |
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Speciality | Community/behavioral Health |
Location | 2130 E 4th St Ste 200, Santa Ana, California |
Authorized Official Name and Position | Donald A. Verleur (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7145435437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cys Olive Crest Bhos Santa Ana 2130 E 4th St Ste 200 Santa Ana CA 92705-3818 Ph: (714) 543-5437 | Cys Olive Crest Bhos Santa Ana 2130 E 4th St Ste 200 Santa Ana CA 92705-3818 Ph: (714) 361-4386 |
NPI Number | 1679070833 |
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Provider Enumeration Date | 04/12/2018 |
Last Update Date | 03/07/2024 |
Certification Date | 03/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679070833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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