Individual provider · Type 1 NPI

Irawan Susanto, MD

Critical Care Medicine (Internal Medicine) Physician · Santa Monica, CA

NPI number 1003836610 Active

Practice location

1223 16th St, Suite 3400
Santa Monica, CA 90404-1217

Call (310) 449-0939 Map

Fax (424) 259-7790

Mailing address

5767 W Century Blvd, Suite 200
Los Angeles, CA 90045-5632

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician 207RP1001XC50280 (CA)
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200XC50280 (CA)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1003836610

Irawan Susanto, MD's National Provider Identifier is 1003836610, issued on Jul 20, 2006. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Santa Monica, CA. The record was last updated on Feb 6, 2014.