Individual
PETER F. CROOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 90033
(323) 442-5910
(323) 442-6798
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-9062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A55377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000F40030C29
CAL OPTIMA PIN
CA
01
—
00A553770
BLUE SHIELD PIN
CA
05
—
00A553770
—
CA
01
—
020039942
MEDICARE RAILROAD PIN
CA
Enumeration date
06/19/2006
Last updated
05/22/2018
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