# EASTERN MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033467337
- **Authorized official:** VICTOR LEE LAC, DC (CEO)
- **Authorized official phone:** (714) 669-9088

## Contact information

- **Practice address:** 1076 E 1ST ST, SUITE G, TUSTIN, CA 92780-3852
- **Practice address phone:** (714) 669-9088
- **Mailing address:** 1076 E 1ST ST, SUITE G, TUSTIN, CA 92780-3852
- **Mailing address phone:** (714) 669-9088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC31707 | CA | — |
| 171100000X | Acupuncturist | AC13964 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2012
- **Last updated:** 08/17/2012