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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