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
Phone: (310) 829-7625
Fax: (310) 319-2468
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518901354 | NPPES |
California | MEDICAID | 00A486690 |
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