Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | A96222 | CA |
Y | 207VX0000X | Obstetrician | A962222 | CA |
NPI | 1043439961 |
---|---|
Provider Name | Dr. Sacha Trinette Lewis |
First Address | Los Angeles, CA 90027-5814 |
Second Address | Los Angeles, CA 90027-5814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 29/11/2021 |