OrganizationActive
Coastal Family Dermatology, PC
NPI 1174927073 · Pediatric Dermatology Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1174927073
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Kilcline, M.d./Owner(805) 544-5567
- License
- A72400 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
892 Aerovista Pl Ste 120
San Luis Obispo, CA 93401-8054
Phone: (805) 544-5567
Fax: (805) 544-3265
Approximate (ZIP-level) locationGet directions
Mailing address
892 Aerovista Pl Ste 120
San Luis Obispo, CA 93401-8054
Additional practice locations (1)
- 525 Plaza Dr Ste 200Santa Maria, CA 93454-6954Phone: (805) 544-5567Fax: (805) 544-3265
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.