Active NPI
La Laser Center PC, a Professional Medical Corporation
- Non-Pharmacy Dispensing Site
- San Luis Obispo, CA
National Provider Identifier
1083520407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 862 Meinecke Ave Ste 200
San Luis Obispo, CA 93405-3704 - Phone
- (805) 250-1080
- NPI assigned
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Taheri
- Title
- Ceo
- Phone
- (310) 922-1412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
862 Meinecke Ave Ste 200
San Luis Obispo, CA 93405-3704
Mailing address
PO Box 16297
Beverly Hills, CA 90209-2297
Phone (888) 993-3761
Other names 1
- Skin and Cancer Institute - San Luis Obispo
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1083520407",
"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": "888-993-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 MEINECKE AVE STE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934053704",
"telephone_number": "805-250-1080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "TAHERI",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-922-1412"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Skin and Cancer Institute - San Luis Obispo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Luis Obispo, CA
- Rachel Leah Kyler, MD
- Thomas Kyler, MD
- Christopher D L'Esperance, MA, LMFT
- Alec Mitchell La Chapelle
- Nadine La Fleur, PSY.D.
- Michael Lee La Puma, DMD
- Dominick Joseph Lacovara, L.C.S.W.
- Lags Spine & Sportscare Medical Centers Inc
- Lags Spine and Sportscare Medical Centers, Inc.
- Lags Spine and Sportscare Medical Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.