Healthcare Provider Details

I. General information

NPI: 1316309172
Provider Name (Legal Business Name): ABIGAIL ANNE ARMSTRONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBIE ANNE ARMSTRONG

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11425 EL CAMINO REAL
SAN DIEGO CA
92130-2045
US

IV. Provider business mailing address

11425 EL CAMINO REAL
SAN DIEGO CA
92130-2045
US

V. Phone/Fax

Practice location:
  • Phone: 858-794-6363
  • Fax: 858-794-6360
Mailing address:
  • Phone: 858-794-6363
  • Fax: 858-794-6360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number1316309172
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA152126
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD61468328
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD216591
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: