Search › California › 103T00000X
Kenneth Nowack
NPI 1306783675 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2621 6th St Apt 2
Santa Monica, CA 90405 - Phone
- (310) 721-2918
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California