# LIFEWEST NORTHERN CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154886166
- **Authorized official:** SEAN SULLIVAN (VICE PRESIDENT)
- **Authorized official phone:** (707) 766-2404

## Contact information

- **Practice address:** 720 PORTAL ST, COTATI, CA 94931-3060
- **Practice address phone:** (707) 755-5060
- **Practice address fax:** (707) 755-5067
- **Mailing address:** PO BOX 2930, SANTA ROSA, CA 95405-0930
- **Mailing address phone:** (800) 811-4045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 07/18/2025