Healthcare Provider Details

I. General information

NPI: 1902762537
Provider Name (Legal Business Name): EVAMARIA ILLMEIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 TOURAN LN
GOLETA CA
93117-8003
US

IV. Provider business mailing address

66 TOURAN LN
GOLETA CA
93117-8003
US

V. Phone/Fax

Practice location:
  • Phone: 310-383-2123
  • Fax: 888-450-0570
Mailing address:
  • Phone: 310-383-2123
  • Fax: 888-450-0570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: