# BRIAN J W BOYD M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841507282
- **Authorized official:** DR. BRIAN JW BOYD M.D. (OWNER)
- **Authorized official phone:** (714) 285-0615

## Contact information

- **Practice address:** 1140 W LA VETA AVE STE 410, ORANGE, CA 92868-4226
- **Practice address phone:** (714) 285-0615
- **Practice address fax:** (714) 285-0619
- **Mailing address:** 1140 W LA VETA AVE STE 410, ORANGE, CA 92868-4226
- **Mailing address phone:** (714) 285-0615
- **Mailing address fax:** (714) 285-0619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G59654 | CA | Yes |

## Other

- **Enumeration date:** 09/07/2010
- **Last updated:** 09/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1932242302 | IND-NPI | CA |
| 01 | — | G59654 | STATE LICENSE | CA |