Provider Demographics
NPI:1093097370
Name:GINOZA, PETER TSUNEO (MED)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:TSUNEO
Last Name:GINOZA
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 LIKINI ST
Mailing Address - Street 2:APT. 1606
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1762
Mailing Address - Country:US
Mailing Address - Phone:808-953-7585
Mailing Address - Fax:
Practice Address - Street 1:5333 LIKINI ST
Practice Address - Street 2:APT. 1606
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-1762
Practice Address - Country:US
Practice Address - Phone:808-953-7585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor