| Isla Vista Neighborhood Clinic | |
|
970 Embarcadero Del Mar Isla Vista CA 93117-4869 | |
| (805) 968-1511 | |
| (805) 968-7041 |
| Full Name | Isla Vista Neighborhood Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 970 Embarcadero Del Mar, Isla Vista, California |
| Authorized Official Name and Position | Leslie Ann Kearney (QI & COMPLIANCE MANAGER) |
| Authorized Official Contact | 8056177858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isla Vista Neighborhood Clinic 915 N Milpas St 2nd Floor Santa Barbara CA 93103-2331 Ph: (805) 617-7858 | Isla Vista Neighborhood Clinic 970 Embarcadero Del Mar Isla Vista CA 93117-4869 Ph: (805) 968-1511 |
| NPI Number | 1942487848 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942487848 | NPI | - | NPPES |
| HAP70097G | Other | CA | FAMILYPACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 050000089 (California) | Primary |
Isla Vista Neighborhood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Embarcadero Del Mar, Isla Vista, CA 93117 Phone: 805-617-7858 Fax: 805-968-7041 | |
Isla Vista Neighborhood Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 970 Embarcadero Del Mar, Isla Vista, CA 93117 Phone: 805-968-1511 Fax: 805-968-7041 |