Healthcare Provider Details

I. General information

NPI: 1689584674
Provider Name (Legal Business Name): GENESIS HEALTHCARE PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 REGENT ST STE 612
BERKELEY CA
94705-2121
US

IV. Provider business mailing address

21250 HAWTHORNE BLVD STE 600
TORRANCE CA
90503-5519
US

V. Phone/Fax

Practice location:
  • Phone: 510-848-1727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: EDWARD STEVEN COHEN
Title or Position: PRESIDENT
Credential:
Phone: 858-888-7700