Individual
SUSAN MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, B265, LOS ANGELES, CA 90095-0001
(310) 825-0128
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0128
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A83616
CA
2086X0206X
Surgical Oncology Physician
A83616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A836160
—
CA
Enumeration date
07/12/2009
Last updated
01/03/2012
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