Healthcare Provider Details

I. General information

NPI: 1023939444
Provider Name (Legal Business Name): ELIANA MEDICAL GROUP CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2980 W HORIZON RIDGE PKWY STE 110
HENDERSON NV
89052-4661
US

IV. Provider business mailing address

13877 HOLLYWOOD AVE
CORONA CA
92880-8822
US

V. Phone/Fax

Practice location:
  • Phone: 562-708-6863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAMY MASSOUD
Title or Position: OWNER
Credential:
Phone: 562-708-6863