Provider Demographics
NPI:1043462138
Name:KOGA, EMI
Entity Type:Individual
Prefix:
First Name:EMI
Middle Name:
Last Name:KOGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMI
Other - Middle Name:
Other - Last Name:HARADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 N VINEYARD BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3950
Mailing Address - Country:US
Mailing Address - Phone:808-535-0132
Mailing Address - Fax:808-599-8761
Practice Address - Street 1:200 N VINEYARD BLVD FL 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3950
Practice Address - Country:US
Practice Address - Phone:808-535-0132
Practice Address - Fax:808-599-8761
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool