Provider Demographics
NPI:1629884903
Name:ARMSTRONG, THERI LATRICE
Entity type:Individual
Prefix:MS
First Name:THERI
Middle Name:LATRICE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:THERI
Other - Middle Name:LATRICE
Other - Last Name:BOOKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4900 ANGELES VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:VIEW PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90043-1737
Mailing Address - Country:US
Mailing Address - Phone:323-402-0178
Mailing Address - Fax:
Practice Address - Street 1:4900 ANGELES VISTA BLVD
Practice Address - Street 2:
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90043-1737
Practice Address - Country:US
Practice Address - Phone:323-402-0178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
373H00000X
CA373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist