Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Bishop Dermatology & Skin Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI (OWNER)
(310) 922-1412
Entity
Organization
Contact information
Practice address
621 W LINE ST STE 105, BISHOP, CA 93514-3320
(760) 873-8781
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(760) 873-8781
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
06/18/2021
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