Provider Demographics
NPI:1265473599
Name:TSUNO, GENE (PHARM D)
Entity Type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:TSUNO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 BIRCH ST
Mailing Address - Street 2:B
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1928
Mailing Address - Country:US
Mailing Address - Phone:949-660-7244
Mailing Address - Fax:949-660-1260
Practice Address - Street 1:4501 BIRCH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1928
Practice Address - Country:US
Practice Address - Phone:949-660-7244
Practice Address - Fax:949-660-1260
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY46463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA464630Medicaid