Healthcare Provider Details

I. General information

NPI: 1093647455
Provider Name (Legal Business Name): SASH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 W PEORIA AVE STE C122
PHOENIX AZ
85029-4742
US

IV. Provider business mailing address

10908 W HARRISON ST
AVONDALE AZ
85323-4549
US

V. Phone/Fax

Practice location:
  • Phone: 323-925-8988
  • Fax:
Mailing address:
  • Phone: 323-925-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BERINYUY RITA NGWANG
Title or Position: OWNER
Credential:
Phone: 323-925-8988