# LILLY F RAMIREZ-BOYD, M.D., INC

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

## Provider details

- **NPI number:** 1962636928
- **Authorized official:** DR. LILLY F RAMIREZ-BOYD MD (OWNER)
- **Authorized official phone:** (714) 285-0612

## Contact information

- **Practice address:** 1140 W LA VETA AVE, SUITE 410, ORANGE, CA 92868-4223
- **Practice address phone:** (714) 285-0612
- **Practice address fax:** (714) 285-0618
- **Mailing address:** 1140 W LA VETA AVE, SUITE 410, ORANGE, CA 92868-4223
- **Mailing address phone:** (714) 285-0612
- **Mailing address fax:** (714) 285-0618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G59399 | CA | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 02/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G593990 | — | CA |
| 01 | — | 1386663862 | INDIVIDUAL NPI | — |
| 01 | — | G59399 | CA STATE LICENSE | — |