DOUGLAS SODERBLOM O.D. NPI 1811236490

NPI Information

  • NPI: 1811236490
  • Provider Name: DOUGLAS SODERBLOM, O.D.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: LOMA LINDA OPTOMETRY
  • CLIA Number: 05D2133531
  • Address: 25815 BARTON RD
    SUITE 104
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 478-3345

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NPI Details

DOUGLAS SODERBLOM, O.D. is a primary care clinic center in Loma Linda, CA. DOUGLAS SODERBLOM, O.D. NPI is 1811236490. The provider is registered as an organization entity type.
The provider Is Doing Business As Loma Linda Optometry.

The provider's business location address is:

25815 BARTON RD
SUITE 104
LOMA LINDA, CA
ZIP 92354-893
Phone: (909) 478-3345
Fax: (909) 478-9337

The provider's authorized official is Douglas Soderblom .
The authorized official title is Owner and has the following contact phone number (909) 478-3345.

The CLIA number assigned to this NPI record is 05D2133531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2013 and was last updated on 2/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care10169TGCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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