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

Fred F Soeprono, MD

Individual provider Dermatology Physician · NPI 1659485746

Fred F Soeprono, MD is a Dermatology in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 1973, 53 years ago. Practices with Steven E Hodgkin MD a Professional Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
53
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25084 Barton Rd Apt B
Loma Linda, CA 92354-2828
Phone: (909) 796-2211
Fax: (909) 796-6937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G28216 (CA)

Record details

NPI number1659485746
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJanuary 8, 2023
Certification dateJanuary 8, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Group practice Steven E Hodgkin Md A Professional Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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