Provider Demographics
NPI:1194965053
Name:SADLER, CHARLES ROBINSON JR (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ROBINSON
Last Name:SADLER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9100 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 245 EAST TOWER
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3415
Mailing Address - Country:US
Mailing Address - Phone:310-275-3866
Mailing Address - Fax:310-275-7827
Practice Address - Street 1:9100 WILSHIRE BLVD
Practice Address - Street 2:SUITE 245 EAST TOWER
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3415
Practice Address - Country:US
Practice Address - Phone:310-275-3866
Practice Address - Fax:310-275-7827
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39661174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist