SearchCaliforniaCritical Care Medicine (Internal Medicine) Physician

Irawan Susanto, MD

NPI 1003836610 · on the registry since 2006

Practice

Address
1223 16th St
Suite 3400
Santa Monica, CA 90404
Phone
(310) 449-0939
Fax
(424) 259-7790
Organisation at this address
Regents Of The Univ Of California
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
Critical Care Medicine (Internal Medicine) Physician
207RC0200X
Also registered as
Pulmonary Disease Physician
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California