Lifewest Northern California
Ambulance in Cotati, CA. Organization (NPI-2).
NPI number1154886166
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1154886166
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifewest Northern California
- Organization subpart
- No
- Enumeration date
- Feb 4, 2019
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 341600000X | Ambulance | – | – | Yes |
| 3416L0300X | Ambulance, Land Transport | – | – |
Practice location
720 Portal StCotati, CA 94931-3060
Phone 707-755-5060 · Fax 707-755-5067
Mailing address
Po Box 2930Santa Rosa, CA 95405-0930
Phone 800-811-4045
Authorized official
Sean Sullivan
Vice President
7077662404
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