# EASTERN MEDICAL HEALTH GROUP

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

## Provider details

- **NPI number:** 1104218320
- **Authorized official:** MR. JOSE BERMUDEZ L.AC. (OWNER/OPERATOR)
- **Authorized official phone:** (818) 432-1470

## Contact information

- **Practice address:** 12840 RIVERSIDE DR, SUITE 401, VALLEY VILLAGE, CA 91607-3327
- **Practice address phone:** (818) 432-1470
- **Practice address fax:** (818) 432-1472
- **Mailing address:** 12840 RIVERSIDE DR, SUITE 401, VALLEY VILLAGE, CA 91607-3327
- **Mailing address phone:** (818) 432-1470
- **Mailing address fax:** (818) 432-1472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC15484 | CA | Yes |

## Other

- **Enumeration date:** 02/25/2015
- **Last updated:** 02/25/2015