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 provides Family Medicine Physician services 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

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