Healthcare Provider Details

I. General information

NPI: 1023822087
Provider Name (Legal Business Name): ELIAA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17520 BROWN ST
PERRIS CA
92570-9110
US

IV. Provider business mailing address

17520 BROWN ST
PERRIS CA
92570-9110
US

V. Phone/Fax

Practice location:
  • Phone: 650-656-7941
  • Fax:
Mailing address:
  • Phone: 650-656-7941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: AMIRRA YOUNES
Title or Position: OFFICER
Credential:
Phone: 650-656-7941