COASTAL FAMILY DERMATOLOGY, PC is a pediatric dermatology dermatology in San Luis Obispo, CA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. COASTAL FAMILY DERMATOLOGY, PC NPI is 1174927073. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
990 PACIFIC ST
SAN LUIS OBISPO, CA
ZIP 93401-309
Phone: (805) 554-5567
Fax: (805) 544-3265
The provider's authorized official is Christine Denise Kilcline .
The authorized official title is M.d./owner and has the following contact phone number (805) 544-5567.
The CLIA number assigned to this NPI record is 05D2165534 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/21/2014 and was last updated on 1/2/2015.