Healthcare Provider Details

I. General information

NPI: 1467301242
Provider Name (Legal Business Name): MIRENE HEALTH INLAND EMPIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4244 RIVERWALK PKWY STE 270
RIVERSIDE CA
92505-3373
US

IV. Provider business mailing address

4244 RIVERWALK PKWY STE 270
RIVERSIDE CA
92505-3373
US

V. Phone/Fax

Practice location:
  • Phone: 951-742-8813
  • Fax: 951-742-8797
Mailing address:
  • Phone: 951-742-8813
  • Fax: 951-742-8797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WESLEY SWEIS
Title or Position: MEMBER
Credential: PHARMD
Phone: 951-742-8813