Physician Compare National (NPI:1679648737)

HEALTHCARE PROVIDER: PAUL ARNOLD KIYAN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679648737
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931200169
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070718000448
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KIYAN
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1887 BUSINESS CTR DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2A
	Group Practice or individual's line 2 address
City	SAN BERNARDINO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	924083445
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9093831053
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y