Bhavani INC
NPI #1093781189 in San Luis Obispo, California
Provider Information
- NPI Number
- 1093781189
- Entity Type
- Organization
- Organization Name
- Bhavani INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Dec 10, 2013
Practice Location
- Address
- 1035 PEACH STREET
- Address 2
- SUITE 301
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-2700
- Phone
- (805) 542-0900
Authorized Official
- Name
- DONELLA JENKINS, M.D.
- Title
- CEO/CFO
- Phone
- (805) 542-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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