Healthcare Provider Details

I. General information

NPI: 1740134998
Provider Name (Legal Business Name): COREY BLAKE DUNBAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 162
IMPERIAL BEACH CA
91933-0162
US

IV. Provider business mailing address

PO BOX 162
IMPERIAL BEACH CA
91933-0162
US

V. Phone/Fax

Practice location:
  • Phone: 619-395-8961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: