Rock, Terri L

Rock, Terri L is an sole proprietor health care provider with primary practice located at 2021 Santa Monica Blvd Suite 335 East, Santa Monica CA 90404-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Rock, Terri L can be contacted via phone (310) 829-7625.

Contact Information

Primary practice address
2021 Santa Monica Blvd Suite 335 East Santa Monica CA 90404-2208
Fax: (310) 319-2468
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A048669 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X G8961 Texas

Profile Details

NPI number 1518901354
LBN Legal business name Rock, Terri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Feb 19th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518901354 NPPES
California MEDICAID 00A486690

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