Organization
DUNAMIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO GILLAM (CHIEF EXECUTIVE OFFICER)
(559) 981-2143
Entity
Organization
Contact information
Practice address
3216 N SIERRA VISTA AVE, FRESNO, CA 93726-6421
(559) 981-2143
(559) 981-5039
Mailing address
4991 E MCKINLEY AVE STE 112, FRESNO, CA 93727-1966
(559) 981-2143
(559) 981-5039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100091AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962637512
MEDI CAL
CA
Enumeration date
02/28/2014
Last updated
02/28/2014
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