Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI (OWNER)
(310) 922-1412
Entity
Organization
Contact information
Practice address
1840 MESQUITE AVE STE G102, LAKE HAVASU CITY, AZ 86403-5771
(928) 351-1850
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
01/20/2024
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