Healthcare Provider Details

I. General information

NPI: 1538092705
Provider Name (Legal Business Name): ISABELLA FIORE LEOS PETE CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ISABELLA FIORE LEOS

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1449 N ARMEL DR
COVINA CA
91722-1411
US

IV. Provider business mailing address

1449 N ARMEL DR
COVINA CA
91722-1411
US

V. Phone/Fax

Practice location:
  • Phone: 323-365-1140
  • Fax:
Mailing address:
  • Phone: 323-365-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTCH194133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: