# LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arroyo Grande Dermatology & Skin Cancer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043932288
- **Authorized official:** DANIEL TAHERI MD (OWNER)
- **Authorized official phone:** (661) 388-5240

## Contact information

- **Practice address:** 310 S HALCYON RD STE 106, ARROYO GRANDE, CA 93420-3863
- **Practice address phone:** (805) 770-1825
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297
- **Mailing address phone:** (661) 388-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 01/20/2024