Gainer, Bonnie J

Gainer, Bonnie J is an individual health care provider with primary practice located at 415 Old Newport Blvd Suite 200, Newport Beach CA 92663-4248. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Gainer, Bonnie J can be contacted via phone (949) 548-9611.

Contact Information

Primary practice address
415 Old Newport Blvd Suite 200 Newport Beach CA 92663-4248
Phone: (949) 548-9611
Fax: (949) 548-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G55764 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G55764 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G55764 California

Profile Details

NPI number 1972592319
LBN Legal business name Gainer, Bonnie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972592319 NPPES
California MEDICAID GR00750606

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