Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mira Integrated Holdings Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1902307713

Mira Integrated Holdings Inc is a Durable Medical Equipment & Medical Supplies in San Dimas, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

433 W Allen Ave Ste 112
San Dimas, CA 91773-4704
Phone: (909) 657-5557
Fax: (909) 657-9990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 98254 (CA)

Record details

NPI number1902307713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arnold Aquino — President · (909) 657-5557
Other names Supreme Healthcare
NPI enumeratedFebruary 27, 2018
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address433 W Allen Ave Ste 112, San Dimas, CA 91773-4704

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