Provider First Line Business Practice Location Address: 
686 EL RANCHO RD
    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: 
93108-1842
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
805-969-5500
    Provider Business Practice Location Address Fax Number: 
805-969-6130
    Provider Enumeration Date: 
11/16/2005