# CENTRAL COAST ORTHOPEDIC MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871537779
- **Authorized official:** MONICA LOPEZ (PRACTICE MANAGER)
- **Authorized official phone:** (805) 541-4600

## Contact information

- **Practice address:** 862 MEINECKE AVE STE 100, SAN LUIS OBISPO, CA 93405-3701
- **Practice address phone:** (805) 541-4600
- **Practice address fax:** (805) 541-3566
- **Mailing address:** 2342 PROFESSIONAL PKWY STE 200, SANTA MARIA, CA 93455-1690
- **Mailing address phone:** (805) 349-9545
- **Mailing address fax:** (805) 349-9055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/29/2026