Organization
LA LASER CENTER, PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TAHERI MD (OWNER)
(661) 388-5240
Entity
Organization
Contact information
Practice address
161 AVENIDA VAQUERO, SAN CLEMENTE, CA 92672-3601
(949) 652-3095
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(661) 388-5240
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247778
—
AZ
Enumeration date
01/30/2007
Last updated
05/05/2026
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