# LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1881316032
- **Authorized official:** DANIEL TAHERI MD (OWNER)
- **Authorized official phone:** (661) 388-5240

## Contact information

- **Practice address:** 1310 LAS TABLAS RD STE 105, TEMPLETON, CA 93465-9746
- **Practice address phone:** (805) 603-1620
- **Practice address fax:** (209) 900-1795
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297
- **Mailing address phone:** (310) 922-1412
- **Mailing address fax:** (661) 425-0045

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 01/26/2024