Organization
BHAVANI INC
Active
Other names
Healthworks of the Central Coast
Organization subpart
No
Provider details
NPI number
Authorized official
DONELLA JENKINS M.D. (CEO/CFO)
(805) 542-0900
Entity
Organization
Contact information
Practice address
1035 PEACH STREET, SUITE 301, SAN LUIS OBISPO, CA 93401-2700
(805) 542-0900
(805) 543-9580
Mailing address
1035 PEACH STREET, SUITE 301, SAN LUIS OBISPO, CA 93401-2700
(805) 542-0900
(805) 543-9580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54017
CA
207Q00000X
Family Medicine Physician
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Other
Enumeration date
02/27/2006
Last updated
12/10/2013
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