Individual
TERRI L ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2021 SANTA MONICA BLVD, SUITE 335 EAST, SANTA MONICA, CA 90404-2208
(310) 829-7625
(310) 319-2468
Mailing address
2021 SANTA MONICA BLVD, SUITE 335 EAST, SANTA MONICA, CA 90404-2208
(310) 829-7625
(310) 319-2468
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A048669
CA
207QA0505X
Adult Medicine Physician
G8961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A486690
—
CA
Enumeration date
06/15/2006
Last updated
02/19/2009
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