Healthcare Provider Details

I. General information

NPI: 1043411317
Provider Name (Legal Business Name): STEPHANIE ELISE COHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE., 1M3 SAN FRANCISCO GENERAL HOSPITAL
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

1001 POTRERO AVE # 5H16
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-225-9558
  • Fax:
Mailing address:
  • Phone: 415-206-8322
  • Fax: 415-206-6115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA94190
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA94190
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: