Organization
GIBRALTAR CONVALESCENT HOSPITAL INC
Active
Other names
Del Mar Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A MORTENSEN (SR VP FINANCE)
(714) 577-3880
Entity
Organization
Contact information
Practice address
3136 N DEL MAR AVE, ROSEMEAD, CA 91770
(626) 288-8353
(626) 571-7782
Mailing address
3050 SATURN ST, SUITE 201, BREA, CA 92821-6278
(714) 577-3880
(714) 577-3895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT055881
—
CA
Enumeration date
09/16/2006
Last updated
08/22/2020
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