NPIMap

Organization Active NPI

La Laser Center PC a Professional Medical Corporation

Doing business as Arroyo Grande Dermatology & Skin Cancer

  • Medical Specialty Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1043932288
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Arroyo Grande Dermatology & Skin Cancer
Practice address
310 S Halcyon Rd Ste 106
Arroyo Grande, CA 93420-3863
Phone
(805) 770-1825
NPI assigned
Sep 14, 2022
Last updated
Jan 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Taheri, MD
Title
Owner
Phone
(661) 388-5240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

310 S Halcyon Rd Ste 106
Arroyo Grande, CA 93420-3863

Mailing address

PO Box 16297
Beverly Hills, CA 90209-2297
Phone (661) 388-5240

Other names 1

  • Arroyo Grande Dermatology & Skin Cancer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Laser Center PC a Professional Medical Corporation45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705708800000",
    "number": "1043932288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16297",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092297",
            "telephone_number": "661-388-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD STE 106",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203863",
            "telephone_number": "805-770-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-388-5240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arroyo Grande Dermatology & Skin Cancer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arroyo Grande Dermatology & Skin Cancer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.