Organization · Type 2 NPI

Coastal Family Dermatology, PC

Pediatric Dermatology Physician · San Luis Obispo, CA

NPI number 1295290567 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

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Pediatric Dermatology Physician Primary 207NP0225XNone listed

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

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About NPI 1295290567

Coastal Family Dermatology, PC's National Provider Identifier is 1295290567, issued on Jan 31, 2019. 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 24, 2025.