# GAVINO T. VINZONS M.D, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GAVINO T. VINZONS M.D., INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275961385
- **Legal business name:** GAVINO T. VINZONS M.D., INC
- **Authorized official:** GAVINO T. VINZONS M.D. (PHYSICIAN)
- **Authorized official phone:** (808) 842-7146

## Contact information

- **Practice address:** 2055 N. KING ST. STE 102, HONOLULU, HI 96819
- **Practice address phone:** (808) 842-7146
- **Practice address fax:** (808) 843-2638
- **Mailing address:** 2055 N. KING ST. STE 102, HONOLULU, HI 96819
- **Mailing address phone:** (808) 842-7146
- **Mailing address fax:** (808) 843-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6074 | HI | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 07/29/2014