Organization
LILLY F RAMIREZ-BOYD, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLY F RAMIREZ-BOYD MD (OWNER)
(714) 285-0612
Entity
Organization
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
261QM2500X
Medical Specialty Clinic/Center
Primary
G59399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G593990
—
CA
01
—
1386663862
INDIVIDUAL NPI
—
01
—
G59399
CA STATE LICENSE
—
Enumeration date
05/06/2009
Last updated
02/26/2013
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