MEDICARE: CHARLIE SAM NEPHROLOGY

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	261QP2300X	Primary Care Clinic/Center		CA

General Provider Information

NPI Number	:	1184029712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLIE SAM NEPHROLOGY

Provider Business Mailing Address
First Line	:	505 S. VIRGIL AVE.
Second Line	:	SUITE 301
City	:	LOS ANGELES
State	:	CA
Zip	:	90020
Country	:	US
Telephone Number	:	213-674-8282
Fax Number	:	213-232-7013

Provider Business Practice Location Address
First Line	:	505 S VIRGIL AVE STE 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1443
Country	:	US
Telephone Number	:	213-674-8282
Fax Number	:	213-232-7013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHARLES CHO
Credential	:	M.D.
Telephone Number	:	213-674-8282

Provider Enumeration Date	:	10/24/2014
Last Update Date	:	10/24/2014

Similar Medicare Providers

1366394108 — AXIS SURGERY CENTER, PC
Practice Location Address:

505 S VIRGIL AVE STE 206
LOS ANGELES, CA
90020-1443

Practice Phone: 213-622-0021
Practice Fax:

1619218559 — DR. YUNG HAN M.D.
Practice Location Address:

505 S VIRGIL AVE STE 205
LOS ANGELES, CA
90020-1443

Practice Phone: 213-805-5822
Practice Fax: 213-805-5812

1316348253 — HAN ORTHOPAEDICS INC
Practice Location Address:

505 S VIRGIL AVE STE 205
LOS ANGELES, CA
90020-1443

Practice Phone: 213-805-5822
Practice Fax: 213-805-5812

1831625839 — EQUIP PHYSICAL THERAPY AND REHABILITATION INC
Practice Location Address:

505 S VIRGIL AVE STE 204A
LOS ANGELES, CA
90020-1443

Practice Phone: 213-674-7699
Practice Fax:

1427652304 — DR. DAVID CHING-WEI LEE MD
Practice Location Address:

505 S VIRGIL AVE STE 205
LOS ANGELES, CA
90020-1443

Practice Phone: 213-805-5822
Practice Fax:

1124694625 — DR. SALEM LEBADA DPM
Practice Location Address:

505 S VIRGIL AVE STE 205
LOS ANGELES, CA
90020-1443

Practice Phone: 213-805-5822
Practice Fax:

Directions to “CHARLIE SAM NEPHROLOGY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.