Healthcare Provider Details

I. General information

NPI: 1932013059
Provider Name (Legal Business Name): ELLE ELISE ROMINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 GARDEN ST
SANTA BARBARA CA
93101-1625
US

IV. Provider business mailing address

6658 DEL PLAYA DR APT 1
GOLETA CA
93117-5062
US

V. Phone/Fax

Practice location:
  • Phone: 805-884-8440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: