Provider First Line Business Practice Location Address: 
UNIVERSITY OF CALIFORNIA STUDENT HEALTH
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
SANTA BARBARA
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
93106-7002
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
805-893-3434
    Provider Business Practice Location Address Fax Number: 
805-893-7359
    Provider Enumeration Date: 
05/24/2007