Central Coast Regenerative Medicine INC
NPI #1649818626 in San Luis Obispo, California
Provider Information
- NPI Number
- 1649818626
- Entity Type
- Organization
- Organization Name
- Central Coast Regenerative Medicine INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 20, 2019
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 628 CALIFORNIA BLVD STE E
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-2548
- Phone
- (805) 540-2010
Authorized Official
- Name
- ELLEXIS E KHAN
- Title
- OWNER, AUTHORIZED OFFICIAL
- Phone
- (530) 415-6549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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