Organization
EASTERN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR LEE L.AC., D.C. (PRESIDENT)
(714) 669-9088
Entity
Organization
Contact information
Practice address
1076 E 1ST ST, SUITE G, TUSTIN, CA 92780-3852
(714) 669-9088
(714) 669-1230
Mailing address
1076 E 1ST ST, SUITE G, TUSTIN, CA 92780-3852
(714) 669-9088
(949) 328-4168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC 31707
CA
171100000X
Acupuncturist
Primary
AC 13964
CA
171100000X
Acupuncturist
AC 1527
CA
Other
Enumeration date
07/23/2006
Last updated
10/09/2012
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