Dynasty Group USA LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

DYNASTY GROUP USA LLC

Practice address

14251 Firestone Blvd Ste 100
La Mirada, CA 90638-5525

Phone

(562) 587-3518

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Armando Gilbert Del Real Jr.NPI 1851042709

Title

President

Phone

(562) 587-3518

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armando Gilbert Del Real Jr.

  • Contractor
  • La Mirada, CA
  • NPI 1851042709
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1386366961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 FIRESTONE BLVD STE 100",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385525",
            "telephone_number": "562-587-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 FIRESTONE BLVD STE 100",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385525",
            "telephone_number": "562-587-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY GROUP USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "DEL REAL",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-587-3518",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.