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Irawan Susanto, MD
Critical Care Medicine (Internal Medicine) Physician in Santa Monica, California
NPI 1003836610

Irawan Susanto is a Critical Care Medicine (Internal Medicine) Physician based in Los Angeles, CA and is specialized in Critical Care Medicine. Irawan Susanto practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Irawan Susanto is 1003836610 and holds a License No. C50280 (California).

The current practice location address for Irawan Susanto is 1223 16Th St, Santa Monica, CA and can be reached out via phone at 310-449-0939 and via fax at 424-259-7790.

Location: 1223 16Th St, Santa Monica, CA, 90045-5632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003836610
Provider Name
Irawan Susanto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1223 16Th St, Santa Monica, CA, 90045-5632
Phone Number
310-449-0939
Fax Number
424-259-7790
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C502800 05 CA
institution
Provider Business Practice Location Address Details
Address
1223 16Th St
City
Santa Monica
State
California
Zip
90404-1217
Phone Number
310-449-0939
Fax Number
424-259-7790
person
Provider Business Mailing Address Details
Address
1223 16Th St
City
Santa Monica
State
California
Zip
90404-1217
Phone Number
310-449-0939
Fax Number
424-259-7790
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
C50280 (California)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
C50280 (California)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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