Provider Demographics
NPI:1063841583
Name:HINO HAIRSTYLES
Entity Type:Organization
Organization Name:HINO HAIRSTYLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:TAKAYUKI
Authorized Official - Last Name:HINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-949-6147
Mailing Address - Street 1:1450 ALA MOANA BLVD
Mailing Address - Street 2:1246
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4604
Mailing Address - Country:US
Mailing Address - Phone:808-949-6147
Mailing Address - Fax:
Practice Address - Street 1:1450 ALA MOANA BLVD
Practice Address - Street 2:1246
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4604
Practice Address - Country:US
Practice Address - Phone:808-949-6147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier