Healthcare Provider Details

I. General information

NPI: 1730030628
Provider Name (Legal Business Name): BRYSON LOCHTE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 WILSHIRE BLVD STE 507
SANTA MONICA CA
90403-5826
US

IV. Provider business mailing address

2444 WILSHIRE BLVD STE 507
SANTA MONICA CA
90403-5826
US

V. Phone/Fax

Practice location:
  • Phone: 310-256-1122
  • Fax:
Mailing address:
  • Phone: 310-570-2509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRYSON LOCHTE
Title or Position: CEO
Credential: MD
Phone: 310-256-1122