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Search › California › 175T00000X

Jesse Roque

NPI 1871335802 · on the registry since 2024

Practice

Address
840 N Avenue 66
Los Angeles, CA 90042
Phone
(626) 395-7100
Clinicians at this address
555

Additional practice sites

  • 490 S Farrell Dr Ste C200, Palm Springs, CA
  • 840 N Avenue 66, Los Angeles, CA
  • 835 Highland Springs Ave Ste 210, Beaumont, CA

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
172V00000X
373H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California