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

Coastal Family Dermatology, PC

Organization Dermatology Physician · NPI 1295290567

Coastal Family Dermatology, PC is a Dermatology Physician in San Luis Obispo, California. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

892 Aerovista Pl Ste 120
San Luis Obispo, CA 93401-8054
Phone: (805) 544-5567
Fax: (805) 544-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 Plaza Dr Ste 200, Santa Maria, CA 93454-6954 — (805) 544-5567

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1295290567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Kilcline — Owner · (805) 544-5567
NPI enumeratedJanuary 31, 2019
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054

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