Organization
ARCADIAN HEALTH PLAN OF GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES NOVELLO JR. (SR. V.P. & GENERAL COUNSEL)
(510) 817-1845
Entity
Organization
Contact information
Practice address
500 12TH ST STE 300, OAKLAND, CA 94607-4087
(510) 832-0311
(510) 817-1894
Mailing address
500 12TH ST STE 300, OAKLAND, CA 94607-4079
(510) 832-0311
(510) 817-1894
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2006117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006117
MEDICARE ADVANTAGE
GA
Enumeration date
09/10/2008
Last updated
12/09/2010
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