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Ethan D. Frank

Otolaryngology

Allopathic & Osteopathic Physicians

3030 Childrens Way, San Diego, CA 92123-4232

PECOS Enrollment

This provider is enrolled in PECOS as ETHAN FRANK.

Based on the most recent information from CMS, provider Ethan D. Frank is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1720584345
Provider Type
Individual
Full Name
Frank, Ethan D.
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/3/2018
Last Updated
6/25/2024

Contact Information

Practice Location

3030 Childrens Way, San Diego, CA 92123-4232

(858) 309-7701

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207YP0228X Primary	Description Otolaryngology Allopathic & Osteopathic Physicians	License A163956 California
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License A163956 California

Ethan D. Frank

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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