Organization · Type 2 NPI
Coastal Family Dermatology, PC
Pediatric Dermatology Physician · San Luis Obispo, CA
NPI number
1174927073
Active
Practice location
892 Aerovista Pl Ste 120
San Luis Obispo, CA 93401-8054
Fax (805) 544-3265
Other practice locations
- 525 Plaza Dr Ste 200, Santa Maria, CA 93454-6954 · (805) 544-5567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dermatology Physician Primary | 207NP0225X | A72400 (CA) |
| Procedural Dermatology Physician | 207NS0135X | A72400 (CA) |
Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
6 other providers at this address
- Coastal Family Dermatology, PCPediatric Dermatology Physician San Luis Obispo, CA NPI 1295290567
- Christine Denise Kilcline, MDProcedural Dermatology Physician San Luis Obispo, CA NPI 1093724791
- Jessy Mackenzie Arthurs, PADermatology Physician San Luis Obispo, CA NPI 1922589548
- Katherine Brady Van Beurden, PA-CPhysician Assistant San Luis Obispo, CA NPI 1508454364
- Madeline Gurewitz, PA-CMedical Physician Assistant San Luis Obispo, CA NPI 1568283687
- Natalie Robertson, PA-CPhysician Assistant San Luis Obispo, CA NPI 1083197354
Other pediatric dermatology physician providers in San Luis Obispo
About NPI 1174927073
Coastal Family Dermatology, PC's National Provider Identifier is 1174927073, issued on Oct 21, 2014. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 15, 2025.