Provider First Line Business Practice Location Address:
731 E HALEY ST.
Provider Second Line Business Practice Location Address:
STE 101, #253
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-857-0661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2026