Individual
MR. PAUL KEONI NIIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14532 FRIAR ST STE G, VAN NUYS, CA 91411-2358
(818) 994-2108
Mailing address
14532 FRIAR ST STE G, VAN NUYS, CA 91411-2358
(818) 994-2108
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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