Healthcare Provider Details

I. General information

NPI: 1477429033
Provider Name (Legal Business Name): TEREZA LEPORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40024 HARVESTON DR
TEMECULA CA
92591-4802
US

IV. Provider business mailing address

26326 ALISE CT
MURRIETA CA
92563-4318
US

V. Phone/Fax

Practice location:
  • Phone: 951-308-9200
  • Fax:
Mailing address:
  • Phone: 562-826-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberC2259818
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: