Organization
CENTRAL COAST NURSING HOME PHYSICIANS, INC.
Active
Other names
NextGen Concierge Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD NOORISTANI MD (CHIEF FINANCIAL OFFICER)
(805) 821-1176
Entity
Organization
Contact information
Practice address
1242 MONTEREY ST STE 102, SAN LUIS OBISPO, CA 93401-0807
(805) 465-7012
(855) 538-6276
Mailing address
1375 E GRAND AVE STE 103, ARROYO GRANDE, CA 93420-2421
(805) 474-5620
(855) 538-6276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
05/14/2026
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