OrganizationActive
Coastal Family Dermatology, PC
NPI 1295290567 · Pediatric Dermatology Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1295290567
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Kilcline, Owner(805) 544-5567
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
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
- 2019-01-31
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.