Healthcare Provider Details

I. General information

NPI: 1548567498
Provider Name (Legal Business Name): GENESIS HEALTHCARE PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SANTA FE DR STE 108
ENCINITAS CA
92024-5141
US

IV. Provider business mailing address

21250 HAWTHORNE BLVD STE 600
TORRANCE CA
90503-5519
US

V. Phone/Fax

Practice location:
  • Phone: 760-436-4558
  • Fax: 858-429-7926
Mailing address:
  • Phone: 858-888-7700
  • Fax: 858-221-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD COHEN
Title or Position: CEO AND BOARD CHAIR
Credential: MD
Phone: 858-810-7200