Provider Demographics
NPI:1750723193
Name:DUNAMIS INC.
Entity type:Organization
Organization Name:DUNAMIS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLAM
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:559-981-2143
Mailing Address - Street 1:4991 E MCKINLEY AVE
Mailing Address - Street 2:112
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1900
Mailing Address - Country:US
Mailing Address - Phone:559-981-2143
Mailing Address - Fax:559-981-5039
Practice Address - Street 1:4991 E MCKINLEY AVE
Practice Address - Street 2:112
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1900
Practice Address - Country:US
Practice Address - Phone:559-981-2143
Practice Address - Fax:559-981-5039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1962637512OtherMEDICAL