Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irawan Susanto, MD

Individual provider Pulmonary Disease Physician · NPI 1003836610

Irawan Susanto, MD is a Pulmonary Disease Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1223 16th St Ste 3400
Santa Monica, CA 90404-1217
Phone: (310) 449-0939
Fax: (424) 259-7790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence C50280 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence C50280 (CA)

Record details

NPI number1003836610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESFebruary 6, 2014

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