| Olive Crest | |
|
805-807 N Central Ave Glendale CA 91203-1230 | |
| (818) 630-7480 | |
| (818) 563-2342 |
| Full Name | Olive Crest |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 805-807 N Central Ave, Glendale, 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 |
|---|---|
| Olive Crest 2130 E 4th St Ste 200 Santa Ana CA 92705-3818 Ph: (714) 543-5437 | Olive Crest 805-807 N Central Ave Glendale CA 91203-1230 Ph: (818) 630-7480 |
| NPI Number | 1760879225 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760879225 | NPI | - | NPPES |
| 7964 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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