Charlie Sam Nephrology

NPI 1184029712 - Clinic/Center - 261QP2300X

NPI Details
NPI 1184029712
Enumeration Date 10/24/2014
Last Updated 10/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHARLES CHARLES
Position PRESIDENT
Phone (213) 674-8282
Fax (213) 232-7013
Practice Location
505 S VIRGIL AVE STE 301
LOS ANGELES CA, 90020-1443, US
Phone (213) 674-8282
Fax (213) 232-7013
Business Location
505 S. VIRGIL AVE.
SUITE 301
LOS ANGELES CA, 90020, US
Phone (213) 674-8282
Fax (213) 232-7013
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1184029712 NPI Number
 

According to our database, Charlie Sam Nephrology NPI is 1184029712, taxonomy code is 261QP2300X Charlie Sam Nephrology physically located at 505 S Virgil Ave Ste 301, Los Angeles CA, 90020-1443. NPI Number 1033115704 has the healthcare provider type.

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1184029712 NPI number is provided on an as is basis without warranty of any kind. 1184029712 is maintained by the National Plan & Provider Enumeration System. The contents of Charlie Sam Nephrology are for informational purposes only.