Organization
COASTLINE ANESTHESIA & PAIN MANAGEMENT GROUP A MEDICAL CORPORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHRISTOPHER BONIS M.D. (PRESIDENT)
(714) 743-2406
Entity
Organization
Contact information
Practice address
19572 ELDERWOOD CIR, HUNTINGTON BEACH, CA 92648-6623
(714) 743-2406
Mailing address
PO BOX 218, ORANGE, CA 92856-6218
(714) 935-0073
(714) 935-0075
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G75707
CA
Other
Enumeration date
03/05/2008
Last updated
10/31/2023
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