Organization
E MIKE VASILOMANOLAKIS M D INC
Active
Other names
Emmanuel M Vasilomanolakis MD
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL CONSTANTINE VASILOMANOLAKIS M.D. (PRESIDENT)
(562) 494-3547
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE, SUTE 314, LONG BEACH, CA 90804-2105
(562) 494-3547
Mailing address
1760 TERMINO AVE, SUTE 314, LONG BEACH, CA 90804-2105
(562) 494-3547
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G41023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G410230
—
CA
Enumeration date
11/26/2008
Last updated
12/05/2008
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