Eastern Medical Health Group

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15484 Issued in CA

Legal business name

EASTERN MEDICAL HEALTH GROUP

Practice address

12840 Riverside Dr
Suite 401
Valley Village, CA 91607-3327

Phone

(818) 432-1470

Fax

(818) 432-1472

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jose Bermudez, L.AC.

Title

Owner/Operator

Phone

(818) 432-1470

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1104218320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "address_2": "SUITE 401",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "818-432-1470",
            "fax_number": "818-432-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "address_2": "SUITE 401",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "818-432-1470",
            "fax_number": "818-432-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MEDICAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "818-432-1470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.