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NPI Code Detail

MEDICARE: SASHA GRUWELL

MEDICARE: SASHA GRUWELL
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1932048196
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA GRUWELL
Provider Business Mailing Address
First Line : 5859 E WARDLOW RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-3854
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3125 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-4932
Country : US
Telephone Number : 562-987-5722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ SASHA GRUWELL ” Practice Location

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