Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ricky Holbert Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1477235604

Ricky Holbert Jr., IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

10219 Laffey Ct
San Diego, CA 92124-2918
Phone: (864) 216-1415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1477235604
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

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