Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Coast Regenerative Medicine Inc

Organization Family Medicine Physician · NPI 1649818626

Central Coast Regenerative Medicine Inc is a Family Medicine Physician in San Luis Obispo, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

628 California Blvd Ste E
San Luis Obispo, CA 93401-2548
Phone: (805) 540-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1649818626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellexis Khan — Owner, Authorized Official · (530) 415-6549
NPI enumeratedDecember 20, 2019
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing address628 California Blvd Ste E, San Luis Obispo, CA 93401-2548

Other providers in San Luis Obispo