Search › California › 363LA2100X
Iwan Sutana, MBA, MSN, AGACNP-BC
NPI 1194250670 · on the registry since 2017
Practice
- Address
- 300 Pasteur Dr
Palo Alto, CA 94305 - Phone
- (650) 723-2091
- Organisation at this address
- Pacific Life Lines, Inc
Pacific Life Lines, Inc.
Stanford Hospital And Clinics
Lucile Packard Stanford Children'S HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 567
Additional practice sites
- 170 Summit Way, San Francisco, CA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163WC0200X
163WC1500X
363L00000X
363LA2200X
363LG0600X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-28
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