Provider Demographics
NPI:1316641160
Name:ARMSTRONG, ALEXANDRIA (DPM)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13042 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2236
Mailing Address - Country:US
Mailing Address - Phone:520-245-4542
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # MC7774
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:520-245-4542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-05-25
Deactivation Date:2023-03-29
Deactivation Code:
Reactivation Date:2023-05-24
Provider Licenses
StateLicense IDTaxonomies
TX1234213E00000X
AZ1234213E00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist