Organization
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Skin and Cancer Institute - Goodyear
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI (CEO)
(310) 922-1412
Entity
Organization
Contact information
Practice address
14940 W INDIAN SCHOOL RD STE 400, GOODYEAR, AZ 85395-7307
(623) 250-3090
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(888) 993-3761
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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