Individual
JORDAN MITCHELL ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-2909
(310) 267-8054
Mailing address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-2909
(310) 267-8054
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PTL1419
CA
390200000X
Student in an Organized Health Care Education/Training Program
07-338-1206
CO
Other
Enumeration date
12/09/2015
Last updated
08/23/2022
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