Irawan Susanto
Pulmonary Disease Critical Care Medicine
1223 16th St Suite 3400
Santa Monica
, California 90404-1217
Irawan Susanto
Pulmonary Disease Critical Care Medicine
1223 16th St Suite 3400
Santa Monica
, California 90404-1217
(310) 301-8751
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Irawan Susanto
- 5767 W Century Blvd Suite 200
- Los Angeles, CA
- Zip : 90045-5632
- Fax : (310) 301-8751
- Phone : (310) 301-8708
Second Address
- Irawan Susanto
- 1223 16th St Suite 3400
- Santa Monica, CA
- Zip : 90404-1217
- Fax : (424) 259-7790
- Phone : (310) 449-0939
Reviews
FAQs
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Where did Irawan Susanto do his residency?
Where did Irawan Susanto do his fellowship?
Is Irawan Susanto board certified?
What type of doctor is Irawan Susanto
In what state does Irawan Susanto practice in?
Where is Irawan Susanto ’s practice located?
What is Irawan Susanto ’s gender?
Is Irawan Susanto a sole practitioner?
Is Irawan Susanto accepting new patients?
What languages does Irawan Susanto speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | C50280 | CA |
| N | 207RP1001X | Pulmonary Disease | C50280 | CA |
National Provider Identifier
| NPI | 1003836610 |
|---|---|
| Provider Name | Irawan Susanto |
| First Address | Los Angeles, CA 90045-5632 |
| Second Address | Santa Monica, CA 90404-1217 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 06/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C502800 | (05) | CA |
| D95824 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.