Soetikno, Brian Theodore
Soetikno, Brian Theodore is an individual health care provider with primary practice located at 100 Stein Plz , Los Angeles CA 90095-4053. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Soetikno, Brian Theodore can be contacted via phone (310) 825-3090.Contact Information
Primary practice address
100 Stein Plz
Los Angeles CA 90095-4053
Phone: (310) 825-3090
Fax: (310) 206-5673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | A181412 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A181412 | California |
Profile Details
| NPI number | 1316338080 |
|---|---|
| LBN Legal business name | Soetikno, Brian Theodore |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2015 |
| Last updated | Jul 1st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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