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Organization
KIYAN OPTOMETRIC
Active
Organization
KIYAN OPTOMETRIC
Active
Other names
Paul A. Kiyan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A KIYAN O.D. (OWNER)
(909) 383-1053
Entity
Organization
Contact information
Practice address
1887 BUSINESS CENTER DR, SUITE 2A, SAN BERNARDINO, CA 92408-3463
(909) 383-1053
(909) 381-2144
Mailing address
1887 BUSINESS CENTER DR, SUITE 2A, SAN BERNARDINO, CA 92408-3463
(909) 383-1053
(909) 381-2144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5891T
CA
332H00000X
Eyewear Supplier
5891T
CA
Other
Enumeration date
10/22/2008
Last updated
10/23/2008
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