Organization
CENTRAL COAST HEAD & NECK SURGEONS A M C INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C NOWAK (PRESIDENT)
(831) 775-0205
Entity
Organization
Contact information
Practice address
1095 LOS PALOS DRIVE, SALINAS, CA 93901-3916
(831) 775-0205
(831) 775-0206
Mailing address
1095 LOS PALOS DRIVE, SALINAS, CA 93901-3916
(831) 775-0205
(831) 775-0206
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN7995
MEDICARE RAILROAD
CA
01
—
CT0518
MEDICARE RAILROAD
CA
05
—
GR0066350
—
CA
05
—
GR0066351
—
CA
05
—
GR0066352
—
CA
Enumeration date
11/20/2006
Last updated
01/30/2023
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