Olive Crest

Organization Active NPI Community/Behavioral Health Agency · Palm Desert, CA

NPI 1104494814 · NPPES record last updated Dec 15, 2023

Key facts

NPI
1104494814
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
OLIVE CREST
Practice address
39830 Portola Ave
Palm Desert, CA 92260-0623
Phone
(951) 686-8500
NPI assigned
Jun 17, 2021
Organization subpart
No

Authorized official

Name
Donald Verleur, MBA
Title
Chief Executive Officer
Phone
(714) 543-5437

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Olive Crest (31 organizations share this tax ID)

Locations

39830 Portola Ave
Ste B
Palm Desert, CA 92260
Phone (760) 848-0229

75105 Merle Dr
Ste 100
Palm Desert, CA 92211

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

39830 Portola Ave
Palm Desert, CA 92260-0623

Mailing address

2130 E 4TH St
Santa Ana, CA 92705-3818
Phone (714) 543-5437

Other identifiers

IdentifierTypeStateIssuer
33Q8MedicaidCA

Other providers in Palm Desert, CA

All providers in Palm Desert, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.