|Active||Over 10 years ago|
|1223 16TH ST
SANTA MONICA CA, 90404-1217, US
|5767 W CENTURY BLVD
LOS ANGELES CA, 90045-5632, US
|Remove 1003836610 NPI Number|
According to our database, Irawan Susanto MD NPI is 1003836610, taxonomy code is 207RP1001X and license number is C50280, license state is located at California. Irawan Susanto MD physically located at 1223 16th St, Santa Monica CA, 90404-1217. NPI Number Irawan Susanto MD has the Individual type.
1003836610 NPI number is provided on an as is basis without warranty of any kind. 1003836610 is maintained by the National Plan & Provider Enumeration System. The contents of Irawan Susanto MD are for informational purposes only.