Organization · Type 2 NPI

Central Coast Orthopedic Medical Group

Orthopaedic Surgery Physician · Pismo Beach, CA

NPI number 1124934856 Active

Practice location

921 Oak Park Blvd Ste 204
Pismo Beach, CA 93449-3400

Fax (805) 473-1802

Mailing address

862 Meinecke Ave Ste 100
San Luis Obispo, CA 93405-3701

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

2 other providers at this address

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About NPI 1124934856

Central Coast Orthopedic Medical Group's National Provider Identifier is 1124934856, issued on Aug 21, 2026. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Pismo Beach, CA. The record was last updated on Aug 29, 2026.