# LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1780217489
- **Authorized official:** DANIEL TAHERI (OWNER)
- **Authorized official phone:** (310) 922-1412

## Contact information

- **Practice address:** 621 W LINE ST STE 105, BISHOP, CA 93514-3320
- **Practice address phone:** (760) 873-8781
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297
- **Mailing address phone:** (760) 873-8781

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2020
- **Last updated:** 06/18/2021