Individual
DR. LILLY F RAMIREZ-BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1140 W LA VETA AVE, SUITE 410, ORANGE, CA 92868-4223
(714) 285-0612
(714) 285-0618
Mailing address
1140 W LA VETA AVE, SUITE 410, ORANGE, CA 92868-4223
(714) 285-0612
(714) 285-0618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G59399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G593990
—
CA
01
—
1962636928
NPI - CORPORATION
CA
01
—
264300915
TAX ID
CA
01
—
G59399
STATE LICENSE
CA
05
—
GR0087980
—
CA
Enumeration date
07/18/2006
Last updated
02/26/2013
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