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E MIKE VASILOMANOLAKIS M D INC NPI 1619122041


NPI Information

NPI: 1619122041
Provider Name: E MIKE VASILOMANOLAKIS M D INC

Other Name: EMMANUEL M VASILOMANOLAKIS MD

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1760 TERMINO AVE
SUTE 314
LONG BEACH, CA
ZIP 90804
Phone: (562) 494-3547
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E MIKE VASILOMANOLAKIS M D INC is a cardiovascular disease internal medicine in Long Beach, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. E MIKE VASILOMANOLAKIS M D INC NPI is 1619122041. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Emmanuel M Vasilomanolakis Md.

The provider's business location address is:

1760 TERMINO AVE
SUTE 314
LONG BEACH, CA
ZIP 90804-105
Phone: (562) 494-3547

The provider's authorized official is Emmanuel Constantine Vasilomanolakis .
The authorized official title is President and has the following contact phone number (562) 494-3547.

The enumeration date for this NPI number is 11/26/2008 and was last updated on 12/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseG41023CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A48436MEDICARE UPINCALIFORNIA
200G410230MEDICAIDCALIFORNIA
3G41023MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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