# LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649033838
- **Authorized official:** DANIEL TAHERI MD (CEO)
- **Authorized official phone:** (661) 846-3009

## Contact information

- **Practice address:** 4805 CENTENNIAL PLAZA WAY, BAKERSFIELD, CA 93312-1905
- **Practice address phone:** (661) 846-3009
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024