| Gavino T. Vinzons M.d, Inc | |
|
2055 N. King St. Ste 102 Honolulu HI 96819 | |
| (808) 842-7146 | |
| (808) 843-2638 |
| Full Name | Gavino T. Vinzons M.d, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2055 N. King St. Ste 102, Honolulu, Hawaii |
| Authorized Official Name and Position | Gavino T. Vinzons (PHYSICIAN) |
| Authorized Official Contact | 8088427146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gavino T. Vinzons M.d, Inc 2055 N. King St. Ste 102 Honolulu HI 96819 Ph: (808) 842-7146 | Gavino T. Vinzons M.d, Inc 2055 N. King St. Ste 102 Honolulu HI 96819 Ph: (808) 842-7146 |
| NPI Number | 1275961385 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 7012140478 |
|---|---|
| Medicare Enrollment ID | O20140509000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275961385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6074 (Hawaii) | Primary |
| Provider Name | Gavino T Vinzons |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588617492 PECOS PAC ID: 2163447103 Enrollment ID: I20051010000554 |
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