Individual ProviderDonald Bokenfohr KearnsOtolaryngologyAllopathic & Osteopathic PhysiciansPractice Address3030 Childrens Way, Suite 402, San Diego, CA 92123-4232(858) 309-7701(858) 309-6303PECOS EnrollmentBased on the most recent information from CMS, provider Donald Bokenfohr Kearns does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750452512Provider TypeIndividualFull NameKearns, Donald BokenfohrCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date11/13/2006Last Updated10/10/2011Contact InformationPractice LocationPractice Address3030 Childrens Way, Suite 402, San Diego, CA 92123-4232Phone(858) 309-7701FaxUnlisted FaxMailing LocationMailing Address3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800Phone(858) 309-6303Fax(858) 309-6301Provider TaxonomiesCodeDescriptionLicenseCode207YP0228XPrimaryDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseC42381CaliforniaCode207Y00000XDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseC42381CaliforniaProvider IdentifiersIDDescriptionIssuerID00C423810DescriptionMedicaidIssuerUnlistedCalifornia