Eastern Alternative Medical Group, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EASTERN ALTERNATIVE MEDICAL GROUP, INC.

Practice address

2804 W Lincoln Ave
Anaheim, CA 92801-6211

Phone

(949) 533-8084

NPI assigned

May 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Il Ju Lee, L. AC.NPI 1952898298

Title

Ceo

Phone

(949) 533-8084

Specialties & licenses 1

Addresses

Other names 1

• Eastern Acupuncture & Herbs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Il Ju Lee, L. AC.

  • Acupuncturist
  • Irvine, CA
  • NPI 1952898298
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1073197299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016211",
            "telephone_number": "949-533-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016211",
            "telephone_number": "949-533-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ALTERNATIVE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "IL JU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-533-8084",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Acupuncture & Herbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Eagan
• Y-San Ean, D.C
• Kevin Ear
• East Hills Chiropractic
• Easter Seals Southern California, Inc
• John S. Eastman, MD
• Chittur Easwaran, M.D
• Breanna Eaton, BA
• Nicole Ebeling
• Gul M Ebrahim, M.D.

• Acupuncturist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.