# LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Porterville Dermatology and Skin Cancer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295596856
- **Authorized official:** DANIEL TAHERI (CEO)
- **Authorized official phone:** (310) 922-1412

## Contact information

- **Practice address:** 876 W GRAND AVE, PORTERVILLE, CA 93257-2071
- **Practice address phone:** (559) 985-0590
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 09/16/2026