Provider Demographics
NPI:1851042709
Name:DEL REAL, ARMANDO GILBERT JR
Entity Type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:GILBERT
Last Name:DEL REAL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ARMANDO
Other - Middle Name:GILBERT
Other - Last Name:DEL REAL
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DYNASTY GROUP USA
Mailing Address - Street 1:14251 FIRESTONE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-5525
Mailing Address - Country:US
Mailing Address - Phone:562-587-3518
Mailing Address - Fax:
Practice Address - Street 1:14251 FIRESTONE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-5525
Practice Address - Country:US
Practice Address - Phone:562-587-3518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor