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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | G12254 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NARCOTIC | AS4562193 | 01 |
CA | MEDICAL LICENSE | G12254 | 01 |
Street Address |
11201 BENTON ST 111N |
City | LOMA LINDA |
State | CA |
Zip Code | 92357-1000 |
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 |
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 Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
City | LOMA LINDA |
Zip Code | 92357 |
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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.