Individual
DR. JEANNE DUSTIN BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2074 PARKER ST, SUITE 120, SAN LUIS OBISPO, CA 93401-5052
(805) 546-9911
(805) 546-9933
Mailing address
PO BOX 12338, SAN LUIS OBISPO, CA 93406-2338
(805) 546-9911
(805) 546-9933
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20A7046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A70460-20
BLUE SHIELD PPIN
CA
01
—
1849643
FIRST HEALTH NETWORK
—
01
—
7047172
AETNA
CA
01
—
7105726
CIGNA PPO
—
01
—
P-11204912
MULTIPLAN
—
Enumeration date
07/10/2006
Last updated
11/25/2014
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