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GOLETA NEIGHBORHOOD CLINIC NPI 1790109692


NPI Information

NPI: 1790109692
Provider Name: GOLETA NEIGHBORHOOD CLINIC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
334 S PATTERSON AVE
SUITE 203
GOLETA, CA
ZIP 93111
Phone: (805) 617-7878
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GOLETA NEIGHBORHOOD CLINIC is a federally qualified health center (fqhc) clinic center in Goleta, CA. GOLETA NEIGHBORHOOD CLINIC NPI is 1790109692. The provider is registered as an organization entity type.

The provider's business location address is:

334 S PATTERSON AVE
SUITE 203
GOLETA, CA
ZIP 93111-400
Phone: (805) 617-7878
Fax: (805) 617-7880

The provider's authorized official is Trula Breuninger .
The authorized official title is Chief Executive Officer and has the following contact phone number (805) 617-7851.

The enumeration date for this NPI number is 2/12/2014 and was last updated on 6/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550002691CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1550002691OTHERCALIFORNIACLINIC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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