Eastern Medical Health Group Acupuncture Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15484 Issued in CA

Legal business name

EASTERN MEDICAL HEALTH GROUP ACUPUNCTURE INC.

Practice address

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

Phone

(818) 432-1470

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jose Luis Bermudez, L.AC.

Title

President

Phone

(818) 432-1470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1528489820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 401",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "818-432-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 401",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "818-432-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MEDICAL HEALTH GROUP ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": []
}

• Edward Dorfman
• Rande Dorn
• Dr. Barbara S. Yates, Inc.
• Dr. Minasyan Dentistry Inc.
• Eastern Medical Health Group
• Easy Choice Hospice,Inc.
• Eb Marriage and Family Therapy Professional Corporation
• Mia Edminster
• Chloe Elias
• Jackson Elrod

• 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 Jan 3, 2014; 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.