Individual ProviderSeth Marc PranskyOtolaryngologyAllopathic & 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 Seth Marc Pransky 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 11 days ago.Profile DetailsProvider ID1669543427Provider TypeIndividualFull NamePransky, Seth MarcCredentialM.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 PhysiciansLicenseG54722CaliforniaCode207Y00000XDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseG54722CaliforniaProvider IdentifiersIDDescriptionIssuerID00G547220DescriptionMedicaidIssuerUnlistedCalifornia