EMMANUEL CONSTANTINE VASILOMANOLAKIS (NPI# 1457440083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457440083 |
| Entity Type | Individual |
| Full Name | EMMANUEL CONSTANTINE VASILOMANOLAKIS |
| Other Name | EMMANUEL MIKE VASILOMANOLAKIS |
| Credential | MD |
| Practice Address |
1760 Termino Avenue Suite 314 Long Beach CA 90804 |
| Mailing Address |
1240 E 29th St Ste 205 Signal Hill CA 90755-1824 |
| Practice Telephone | 5624943547 |
| Practice Fax Number | 5629864467 |
| Mailing Telephone | 5624943547 |
| Mailing Fax Number | 5629864467 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G41023 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 009410230 | 05 |
| Street Address |
1760 TERMINO AVENUE SUITE 314 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245324201 | James Allen Jengo | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2006-10-03 |
| 1407947393 | Amrit Singh | Internal Medicine | 6489 E Surrey Dr, Long Beach, CA 90815-4744 | 2006-09-27 |
| 1528166105 | Minh Ngoc Nguyen | Internal Medicine | 411 E Pacific Coast Hwy, Long Beach, CA 90806-6218 | 2006-09-20 |
| 1477584191 | Rex Jay Winters | Internal Medicine | 2898 Linden Avenue, Long Beach, CA 90806 | 2006-07-05 |
| 1205863701 | Winfried Waider | Internal Medicine | 2898 Linden Ave, Long Beach, CA 90806 | 2006-06-28 |
| 1205889144 | Regional Physicians Medical Group Inc | Internal Medicine | 1974 Santa Fe Ave, Long Beach, CA 90810-4064 | 2006-05-19 |
| 1821058124 | Lee B Weitzman | Internal Medicine | 325 W Park Ave, Long Beach, NY 11561-3223 | 2006-03-23 |
| 1700854270 | Jeffrey P Schaffer | Internal Medicine | 760 E Park Ave, Long Beach, NY 11561-2605 | 2006-03-10 |
| 1629071063 | Paul Stanley Greenberg | Internal Medicine | 6531 E Mantova St, Long Beach, CA 90815-4661 | 2005-05-31 |
| 1275040412 | Serap Sobnosky Md Inc | Internal Medicine | 1045 Atlantic Ave Ste 611, Long Beach, CA 90813-3414 | 2018-01-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on EMMANUEL CONSTANTINE VASILOMANOLAKIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.