Healthcare Provider Details

I. General information

NPI: 1629998588
Provider Name (Legal Business Name): WESTSTAR TELEHEALTH NETWORK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23481 PARK SORRENTO
CALABASAS CA
91302-1301
US

IV. Provider business mailing address

23481 PARK SORRENTO
CALABASAS CA
91302-1301
US

V. Phone/Fax

Practice location:
  • Phone: 833-743-0047
  • Fax: 833-743-0047
Mailing address:
  • Phone: 833-743-0047
  • Fax: 833-743-0047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMON B RASKIN
Title or Position: PRESIDENT
Credential: MD
Phone: 310-459-4333