Healthcare Provider Details
I. General information
NPI: 1467317545
Provider Name (Legal Business Name): ALSANA WEST NORCAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
213 17 MILE DR
PACIFIC GROVE CA
93950-2442
US
IV. Provider business mailing address
31248 OAK CREST DR STE 220
WESTLAKE VILLAGE CA
91361-4652
US
V. Phone/Fax
- Phone: 310-738-3329
- Fax:
- Phone: 310-738-3329
- Fax: 310-738-3329
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
BRITT
Title or Position: CFO
Credential:
Phone: 310-738-3329