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Individual

KONSTANTINOS VLACHONASSIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 E SOUTH ST STE 301, LAKEWOOD, CA 90805-4561
(562) 622-9500
(562) 622-9513
Mailing address
19051 GOLDENWEST ST # 106-321, HUNTINGTON BEACH, CA 92648-2155
(562) 622-9500
(562) 622-9513

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A52738
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A5278380
CA
Enumeration date
10/19/2006
Last updated
12/12/2024
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