Irawan Susanto, MD
NPI #1003836610 in Santa Monica, California
Provider Information
- NPI Number
- 1003836610
- Entity Type
- Individual
- Name
- Irawan Susanto, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Critical Care Medicine
- Credential
- MD
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Feb 6, 2014
Practice Location
- Address
- 1223 16TH ST
- Address 2
- SUITE 3400
- City
- Santa Monica
- State
- California
- ZIP Code
- 90404-1217
- Phone
- (310) 449-0939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine - Critical Care Medicine — Critical Care Medicine |
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