Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN THEODORE SOETIKNO, MD, PHD
ActiveDR. BRIAN THEODORE SOETIKNO, MD, PHD is a Ophthalmology healthcare provider located in LOS ANGELES, California. NPI 1316338080 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · LOS ANGELES, CA
Registration Details
- NPI Number
- 1316338080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2015 (11.499095244472 yrs)
- Last Updated
- Jul 1, 2025
- Licenses
-
A181412 (CA)A181412 (CA)
Practice Information
- Address
-
100 STEIN PLZLOS ANGELES, CA, 900954053Browse CA providers · Browse ZIP 90095
- Phone
- 3108253090
- Fax
- 3102065673
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SHERMAN A ROBINS | M.D. | 1750389839 |
| DR. JEFFREY MERRICK SAGE | D.O. | 1114926730 |
| DR. WONKYU PAK | M.D. | 1376542894 |
| DR. BARBARA CAMILLE BREGER | M.D. | 1588664817 |
| THOMAS G CHU | MD | 1760482806 |
| DAVID S BOYER | MD | 1295736916 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.