Organization
MERITAGE ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL CRISTE (CEO)
(415) 884-1818
Entity
Organization
Contact information
Practice address
4 HAMILTON LNDG, STE 100, NOVATO, CA 94949-8256
(415) 884-1818
(415) 884-3505
Mailing address
4 HAMILTON LNDG, STE 100, NOVATO, CA 94949-8256
(415) 884-1818
(415) 884-3505
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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