Provider Demographics
NPI:1134851108
Name:KUK, GYNTECH PAUL (PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:GYNTECH
Middle Name:PAUL
Last Name:KUK
Suffix:
Gender:M
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9020 MARIE LN
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-3625
Mailing Address - Country:US
Mailing Address - Phone:714-383-2106
Mailing Address - Fax:
Practice Address - Street 1:6835 KATELLA AVE # 516063
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5107
Practice Address - Country:US
Practice Address - Phone:144-847-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist