Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRAWAN SUSANTO, MD
ActiveIRAWAN SUSANTO, MD is a Critical Care Medicine healthcare provider located in SANTA MONICA, California. NPI 1003836610 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · SANTA MONICA, CA
Registration Details
- NPI Number
- 1003836610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.106192540316 yrs)
- Last Updated
- Feb 6, 2014
- Licenses
-
C50280 (CA)C50280 (CA)
Practice Information
- Address
-
1223 16TH STSUITE 3400SANTA MONICA, CA, 904041217Browse CA providers · Browse ZIP 90404
- Phone
- 3104490939
- Fax
- 4242597790
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JONATHAN LIEBER | M.D. | 1619990116 |
| ELLIOT L. GOLDMAN | M.D. | 1699862169 |
| DR. SEAN DOOLEY | M.D. | 1013206648 |
| DR. PARSHAWN LAHIJI | DO | 1912293267 |
| DR. ABIGAIL ELIZABETH BEGGS | M.D. | 1518200393 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.