LAQUISHA BYRD IDC
NPI 1750972410
Military Health Care Provider in San Diego, CA

Active since January 26, 2021
34101 FAREHOLT AVE 92134 BUILDING 14, SAN DIEGO, CA 92134(571) 659-1395 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laquisha Byrd Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAQUISHA BYRD IDC (NPI 1750972410) is an individual military health care provider provider in San Diego, California and active in the NPI registry since January 2021. She maintains a secondary practice location in Fpo.

NPPES Registry Identity

NPI1750972410
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameLAQUISHA BYRDCredential: IDC
Location Address34101 FAREHOLT AVE 92134 BUILDING 14San Diego, CA 92134-0001
Mailing AddressPsc 836 Box 521Fpo, AE 09636-0009
Sole ProprietorNo
Enumeration DateJanuary 26, 2021
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1750972410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

34101 FAREHOLT AVE 92134 BUILDING 14, San Diego, CA 92134

Secondary Practice Location 1

Location 1PSC 836 Box 2670FPO, AE 09636-9998 · Phone (314) 624-5455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750972410, enumerated as an "individual" on January 26, 2021.

The provider is located at 34101 FAREHOLT AVE 92134 BUILDING 14 SAN DIEGO, CA 92134 and the phone number is (571) 659-1395.

Military Health Care Provider with taxonomy code 171000000X.