# J DUSTIN BERNARD DO MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1700807906
- **Authorized official:** JEANNE DUSTIN BERNARD (OWNER)
- **Authorized official phone:** (805) 547-1255

## Contact information

- **Practice address:** 2074 PARKER ST, SUITE 120, SAN LUIS OBISPO, CA 93401-5052
- **Practice address phone:** (805) 546-9911
- **Practice address fax:** (805) 546-9933
- **Mailing address:** PO BOX 12338, SAN LUIS OBISPO, CA 93406-2338
- **Mailing address phone:** (805) 546-9911
- **Mailing address fax:** (805) 546-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2414859 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 09/28/2026