Individual
CROIX FOSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-5010
(858) 939-5021
Mailing address
PO BOX 509015, DEPT 338, SAN DIEGO, CA 92150-9015
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A159160
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
02/18/2026
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