Organization
COAST PAIN MANAGEMENT MEDICAL GROUP, INC.
Active
Organization
COAST PAIN MANAGEMENT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD ALEXANDER BERNSTEIN M.D. (OWNER)
(714) 495-4050
Entity
Organization
Contact information
Practice address
1950 EAST 17TH STREET, SUITE #200, SANTA ANA, CA 92705-6852
(714) 495-4050
(714) 497-1485
Mailing address
PO BOX 27298, SANTA ANA, CA 92799-7298
(714) 495-4050
(714) 497-1485
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G73289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639199045
NPI
CA
Enumeration date
02/25/2008
Last updated
04/11/2019
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