# GMPH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SERRANO CONVALESCENT HOSPITAL SOUTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710975396
- **Authorized official:** LYDIA FLORO CRUZ (PRESIDENT)
- **Authorized official phone:** (323) 965-0600

## Contact information

- **Practice address:** 5400 FOUNTAIN AVE, LOS ANGELES, CA 90029-1007
- **Practice address phone:** (323) 461-4301
- **Practice address fax:** (323) 461-2784
- **Mailing address:** 5400 FOUNTAIN AVE, LOS ANGELES, CA 90029-1007
- **Mailing address phone:** (323) 461-4301
- **Mailing address fax:** (323) 461-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06456G | — | CA |