Healthcare Provider Details

I. General information

NPI: 1922937978
Provider Name (Legal Business Name): ALAYNA EDQUID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 SATURN BLVD
SAN DIEGO CA
92154-4735
US

IV. Provider business mailing address

1544 CRICKET DR
CHULA VISTA CA
91915-1901
US

V. Phone/Fax

Practice location:
  • Phone: 619-591-1190
  • Fax:
Mailing address:
  • Phone: 619-450-9253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: