# COASTLINE ANESTHESIA & PAIN MANAGEMENT GROUP A MEDICAL CORPORA

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

## Provider details

- **NPI number:** 1609046770
- **Authorized official:** DR. DANIEL CHRISTOPHER BONIS M.D. (PRESIDENT)
- **Authorized official phone:** (714) 743-2406

## Contact information

- **Practice address:** 19572 ELDERWOOD CIR, HUNTINGTON BEACH, CA 92648-6623
- **Practice address phone:** (714) 743-2406
- **Mailing address:** PO BOX 218, ORANGE, CA 92856-6218
- **Mailing address phone:** (714) 935-0073
- **Mailing address fax:** (714) 935-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G75707 | CA | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 10/31/2023