Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brian Theodore Soetikno, MD, PHD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1316338080

Dr. Brian Theodore Soetikno, MD, PHD is an Ophthalmology in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Jules Stein Eye Institute Medical Group, a 117-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

100 Stein Plz
Los Angeles, CA 90095-4053
Phone: (310) 825-3090
Fax: (310) 206-5673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A181412 (CA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence A181412 (CA)

Record details

NPI number1316338080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedFebruary 16, 2015
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jules Stein Eye Institute Medical Group — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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