MEDICARE: MR. PAUL KEONI NIIYAMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1811211469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL KEONI NIIYAMA

Provider Business Mailing Address
First Line	:	14532 FRIAR ST STE G
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2358
Country	:	US
Telephone Number	:	818-994-2108
Fax Number	:

Provider Business Practice Location Address
First Line	:	14532 FRIAR ST STE G
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2358
Country	:	US
Telephone Number	:	818-994-2108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	03/24/2010

Similar Medicare Providers

1891941357 — 1ST MENDING POINT INC.
Practice Location Address:

14532 FRIAR ST STE G
VAN NUYS, CA
91411-2358

Practice Phone: 818-613-9847
Practice Fax:

1568173623 — ADVANCE HEALTHMED INC
Practice Location Address:

14532 FRIAR ST STE G
VAN NUYS, CA
91411-2358

Practice Phone: 818-290-3258
Practice Fax: 818-290-3371

1912755133 — LACOSTA MENDOZA
Practice Location Address:

208 WASSENBERG DR
VAN WERT, OH
45891-2358

Practice Phone: 260-416-4223
Practice Fax:

1538055751 — ELITE HOME HEALTH SOLUTIONS, INC
Practice Location Address:

14545 FRIAR ST STE 159
VAN NUYS, CA
91411-2397

Practice Phone: 323-217-4398
Practice Fax:

1568465169 — KRUIN MEDICAL PRODUCTS, INC.
Practice Location Address:

14735 OXNARD ST
VAN NUYS, CA
91411-3124

Practice Phone: 818-787-0162
Practice Fax: 818-787-0173

1255337432 — BEVERLY HILLS PROSTHETICS ORTHOTICS, INC.
Practice Location Address:

15230 BURBANK BLVD , STE 103
VAN NUYS, CA
91411-3534

Practice Phone: 818-988-0033
Practice Fax: 818-988-7219

Directions to “ MR. PAUL KEONI NIIYAMA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.