MEDICARE: DR. SASHA GETTY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A163740	CA

General Provider Information

NPI Number	:	1376047670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SASHA GETTY MD

Provider Business Mailing Address
First Line	:	2549 EASTBLUFF DR STE B722
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-3500
Country	:	US
Telephone Number	:	310-980-2267
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 WILSHIRE BLVD RM 6428
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90073-1003
Country	:	US
Telephone Number	:	310-478-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	06/15/2022

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