Individual
GAY MIRIAM CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, SITE 265, LOS ANGELES, CA 90095-0001
(310) 825-0867
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0867
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A53824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A538240
—
CA
01
—
00A538240 G18
CALOPTIMA
CA
Enumeration date
09/20/2006
Last updated
11/14/2011
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