GMPH Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GMPH CORPORATION

Doing business as

SERRANO CONVALESCENT HOSPITAL SOUTH

Practice address

5400 Fountain Ave
Los Angeles, CA 90029-1007

Phone

(323) 461-4301

Fax

(323) 461-2784

NPI assigned

Oct 8, 2005

Organization subpart

No

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

Authorized official

Name

Lydia Floro Cruz

Title

President

Phone

(323) 965-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SERRANO CONVALESCENT HOSPITAL SOUTH Doing business as

Locations

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710975396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291007",
            "telephone_number": "323-461-4301",
            "fax_number": "323-461-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291007",
            "telephone_number": "323-461-4301",
            "fax_number": "323-461-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMPH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "FLORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-965-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06456G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERRANO CONVALESCENT HOSPITAL SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miriam Madeline Gluck
• Jeffrey Alan Gluckstein, M.D.
• Deborah Glupczynski, MD
• Sierra Grace Glyer
• GMPH Corporation
• GMS Ventures, Inc
• Gmsparatransit,Inc
• Gna Diagnostic Inc.
• Philip Gnaedig, LCSW
• Hallie Gnatovich, LMFT

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.