Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Modesto Dermatology & Skin Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI (OWNER)
(310) 922-1412
Entity
Organization
Contact information
Practice address
3105 MCHENRY AVE STE 101, MODESTO, CA 95350-1439
(209) 900-1790
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
08/25/2026
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