| Organization Name: | GOLETA NEIGHBORHOOD CLINIC |
| NPI Number: | 1215351705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRULA BREUNINGER (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 334 S Patterson Ave Suite 203 Goleta |
| State: | CA US |
| Postal Code: | 931112400 |
| Phone Number: | 8056177878 |
| Fax Number: | 8056177880 |
| NPI Enumeration Date: | 02/05/2014 |
| NPI Last Update Date: | 06/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 550002691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |