Healthcare Provider Details

I. General information

NPI: 1649718651
Provider Name (Legal Business Name): DARRYL KUNIHIRO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CENTERPOINTE DR
LA PALMA CA
90623-1050
US

IV. Provider business mailing address

5 CENTERPOINTE DR
LA PALMA CA
90623-1050
US

V. Phone/Fax

Practice location:
  • Phone: 714-562-3355
  • Fax:
Mailing address:
  • Phone: 714-562-3355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: