Provider First Line Business Practice Location Address: 
UCSB STUDENT HEALTH
    Provider Second Line Business Practice Location Address: 
588 BUILDING MC 7002
    Provider Business Practice Location Address City Name: 
SANTA BARBARA
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
93106-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
805-893-4794
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/08/2015