Organization
GOLETA NEIGHBORHOOD CLINIC
Active
Parent organization
SANTA BARBARA NEIGHBORHOOD CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA BARBARA NEIGHBORHOOD CLINICS
Authorized official
TRULA BREUNINGER MPH MBA (CHIEF EXECUTIVE OFFICER)
(805) 617-7851
Entity
Organization
Contact information
Practice address
334 S PATTERSON AVE, SUITE 203, GOLETA, CA 93111-2400
(805) 617-7878
(805) 617-7880
Mailing address
915 N MILPAS ST, 2ND FLOOR, SANTA BARBARA, CA 93103-2331
(805) 617-7850
(805) 963-8880
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550002691
CLINIC LICENSE
CA
Enumeration date
02/12/2014
Last updated
06/05/2014
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