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Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Porterville Dermatology and Skin Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI (CEO)
(310) 922-1412
Entity
Organization
Contact information
Practice address
876 W GRAND AVE, PORTERVILLE, CA 93257-2071
(559) 985-0590
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
01/22/2024
Last updated
09/16/2026
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