Last name 河西 (河西 
) , in the world, is a very rare family name. The last name 河西 is characteristic of Eastern Asia, particularly China, where it is an extremely rare surname. More frequently, 河西 is the forename as well as the last name.
| 河西春郎 Japanese medical researcher, JP (b. 1957) |
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| 河西りえ Japanese tarento, JP (b. 1977) |
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