Healthcare Provider Details

I. General information

NPI: 1174433155
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

1661 MISSION ST
SAN FRANCISCO CA
94103-2413
US

IV. Provider business mailing address

PO BOX 845996
LOS ANGELES CA
90084-5996
US

V. Phone/Fax

Practice location:
  • Phone: 415-541-0800
  • 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