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

Coastal Regenerative Orthopedics & Wellness Center Inc

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1275165979

Coastal Regenerative Orthopedics & Wellness Center Inc is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020
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

11772 Sorrento Valley Rd Ste 100
San Diego, CA 92121-1016
Phone: (858) 221-4229
Fax: (858) 345-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1275165979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Marx — Biller · (714) 308-4995
Other names Coastal Regenerative Orthopedics & Wellness Center; Coastal Regenerative Orthopedics & Wellness Center
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016

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