OrganizationEastern Medical GroupAcupuncturistOther Service ProvidersPractice Address1076 E 1st St, Suite G, Tustin, CA 92780-3852(714) 669-9088PECOS EnrollmentBased on the most recent information from CMS, provider Eastern Medical Group does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1033467337Provider TypeOrganizationFull NameEastern Medical GroupSubpartNoEnumeration Date8/17/2012Last Updated8/17/2012Contact InformationPractice LocationPractice Address1076 E 1st St, Suite G, Tustin, CA 92780-3852Phone(714) 669-9088FaxUnlisted FaxMailing LocationMailing Address1076 E 1st St, Suite G, Tustin, CA 92780-3852Phone(714) 669-9088FaxUnlisted FaxAuthorized OfficialNameLee, Victor (Ceo)Phone(714) 669-9088Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC13964CaliforniaCode111N00000XDescriptionChiropractorChiropractic ProvidersLicenseDC31707California