Healthcare Provider Details

I. General information

NPI: 1104782408
Provider Name (Legal Business Name): ALSANA WEST NORCAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HARRIS CT STE C6
MONTEREY CA
93940-5820
US

IV. Provider business mailing address

31248 OAK CREST DR STE 220
WESTLAKE VILLAGE CA
91361-4652
US

V. Phone/Fax

Practice location:
  • Phone: 310-738-3329
  • Fax:
Mailing address:
  • Phone: 310-738-3329
  • Fax: 310-738-3329

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 TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SARAH BRITT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 310-738-3329