DR. ROBERT EUGENE SODERBLOM


Address: 11201 Benton St, 111n, Loma Linda, CA 92357-1000
Phone: 9098257084

DR. ROBERT EUGENE SODERBLOM (NPI# 1386749067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386749067
Entity Type Individual
Full Name DR. ROBERT EUGENE SODERBLOM
Credential MD
Practice Address 11201 Benton St
111n
Loma Linda
CA 92357-1000
Mailing Address 34394 La Raye Dr
Yucaipa
CA 92399-5023
Practice Telephone 9098257084
Practice Fax Number 9097773858
Mailing Telephone 9098357084
Mailing Fax Number 9097773858
Enumeration Date 2006-09-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist G12254 CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NARCOTIC AS4562193 01
CA MEDICAL LICENSE G12254 01

Office Location

Street Address 11201 BENTON ST
111N
City LOMA LINDA
State CA
Zip Code 92357-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841290558 Russell Evan Hoxie Jr. Internal Medicine 11201 Benton St, Loma Linda, CA 92357-1000 2005-07-22
1104435643 Megan Satre Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-30
1972111862 Aileen Nati Ludesirishoti Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-17
1649894551 Bryan Lamont Brewer Social Worker 11201 Benton St, Loma Linda, CA 92357-1000 2020-06-05
1518580497 Nicole Kaye Whittle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-26
1629690375 Kevin Alan Cox Student in an Organized Health Care Education/Training Program 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-15
1033731443 Joni Lynn Stanton Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-08
1134748536 Abednego Tamba Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-04-15
1447885884 Zachary Michael Cruz Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-03-05
1972141695 Tanya Lengvilas Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2019-12-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679916027 Nicole Kristine Shah-ghassemzadeh Internal Medicine Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 2013-04-16
1760628598 Taranjit Natt Internal Medicine 11201 Benton St # 111-om, Loma Linda, CA 92357 2008-12-29
1548355076 Annette A Boyd -hampton Nurse Practitioner 11201 Benton St. -111g, Loma Linda, CA 92357 2006-10-03
1396830766 Maudie Cantrell Foy Nurse Practitioner 11201 Benton St. (11cp), Loma Linda, CA 92357 2006-10-03
1427154715 Kenneth Wong Pharmacist 11201 Benton St. (119), Loma Linda, CA 92357 2006-09-15
1801909577 Paul Lindberg Orthotist 11201 Benton St./121, Loma Linda, CA 92357 2006-08-16
1992728703 Harry Chen Pharmacist 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 2006-07-25
1699222661 Nathanial Benjaman Hawkins Psychologist 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 2016-09-07
1063877959 Irene Thung Pathology 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 2015-12-21
1033553375 Brian Chau Physical Medicine & Rehabilitation 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 2013-04-17
Find all providers in zip 92357

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649558263 George Kopiloff Specialist 11467 Poplar St, Loma Linda, CA 92354-3550 2011-07-31
1881898054 Chaya Medical Group Specialist 11761 Welebir St, Loma Linda, CA 92354-3636 2007-06-12
1740339100 Zui-shiang Wang Specialist 11360 Mountain View Ave Ste B, Loma Linda, CA 92354-3834 2007-01-08
1447347901 Richard H. Hart Specialist 24785 Stewart St Rm 111, Loma Linda, CA 92350-0001 2006-10-06
1669569117 Silvia L. Jones Specialist 24785 Stewart Streer Rm 111, Loma Linda, CA 92350-0001 2006-10-06
1639264864 Christian Sterling Jackson Specialist Loma Linda Va Medical Center 11201 Benton Street, 3a-58/111g, Loma Linda, CA 92354 2006-10-04
1255448585 Josefina Flores Specialist 11487 Via Capri, Loma Linda, CA 92354-3853 2006-08-24
1801823547 Lynn K. Mclean Specialist 11234 Anderson St Ste 3400, Loma Linda, CA 92354-2804 2006-06-27
1417992009 Jonathan J Mthombeni Specialist 25051 Redlands Blvd, Loma Linda, CA 92354-4099 2006-06-18
1811960875 Leisure Yu Specialist 10459 Mt View Ave, Suite D, Loma Linda, CA 92354-2033 2006-02-09
Find all providers in LOMA LINDA

Competitor

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City LOMA LINDA
Zip Code 92357

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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