# LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1669388070
- **Authorized official:** DANIEL TAHERI (CEO)
- **Authorized official phone:** (310) 922-1412

## Contact information

- **Practice address:** 161 AVENIDA VAQUERO, SAN CLEMENTE, CA 92672-3601
- **Practice address phone:** (949) 652-3095
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297
- **Mailing address phone:** (888) 993-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2026
- **Last updated:** 08/25/2026