Healthcare Provider Details
I. General information
NPI: 1356477087
Provider Name (Legal Business Name): APRIL WANG ARMSTRONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 UCLA MEDICAL PLZ STE 450
LOS ANGELES CA
90095-4500
US
IV. Provider business mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US
V. Phone/Fax
- Phone: 310-825-6911
- Fax:
- Phone: 310-301-5200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | A103777 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207NI0002X |
| Taxonomy | Clinical & Laboratory Dermatological Immunology Physician |
| License Number | A103777 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207NP0225X |
| Taxonomy | Pediatric Dermatology Physician |
| License Number | A103777 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: