La Laser Center, PC, a Professional Medical Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LA LASER CENTER, PC, A PROFESSIONAL MEDICAL CORPORATION

Practice address

161 Avenida Vaquero
San Clemente, CA 92672-3601

Phone

(949) 652-3095

NPI assigned

Jan 30, 2007

Last updated

May 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Taheri, MDNPI 1992774681

Title

Owner

Phone

(661) 388-5240

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

Enrollment records 2

Locations (25 of 44)

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 143

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Taheri, M.D.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1992774681

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• Farah C Awadalla, MD

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1669608790

  AZ

  Medicare reassignment Care Compare group NPD
• Charley Chips Beck, FNP

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1871255315
  Medicare reassignment Care Compare group NPD
• Amanda Cross, NP

  • Family Nurse Practitioner
  • Tehachapi, CA
  • NPI 1639981830
  Medicare reassignment Care Compare group NPD
• Misty Eleryan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Marina del Rey, CA
  • NPI 1588989412

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Kelly Flores, NP

  • Nurse Practitioner
  • Merced, CA
  • NPI 1184003402
  Medicare reassignment Care Compare group NPD
• Jeffrey Hale, DNP, FNP-BC

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1437836145
  Medicare reassignment Care Compare group NPD
• Kristine M Hirschfield, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1780670091

  Dermatology

  Medicare reassignment Care Compare group NPD
• Virginia Inthavong, FNP

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1932741139
  Medicare reassignment Care Compare group NPD
• David Pierce Lowry, FNP

  • Family Nurse Practitioner
  • Hemet, CA
  • NPI 1326890864
  Medicare reassignment Care Compare group NPD
• Raza Mehdi, MD

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1902890296

  Dermatology

  Medicare reassignment Care Compare group NPD
• Shahil Mehta, MD

  • Radiation Oncology Physician
  • Mountain View, CA
  • NPI 1942763800
  Medicare reassignment Care Compare group NPD

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
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            "postal_code": "902092297",
            "telephone_number": "661-388-5240"
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        {
            "country_code": "US",
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            "address_1": "161 AVENIDA VAQUERO",
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    ],
    "practiceLocations": [
        {
            "address_1": "6145 W Chandler Blvd Ste 3",
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            "address_1": "186 N Main St",
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        {
            "address_1": "2585 Miracle Mile Ste 120",
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        {
            "address_1": "125 N Church St",
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            "address_1": "13613 W Camino Del Sol Ste 1",
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            "address_1": "22717 S Ellsworth Rd Ste B101",
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            "address_1": "276 S Mill St Ste B&c",
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        {
            "address_1": "123 Margaret Ln Ste A1",
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        {
            "address_1": "300 Old River Rd Ste 120",
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            "address_1": "400 N Irwin St",
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            "address_1": "981 E Tuolumne Rd Ste 104",
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            "address_1": "1200 N China Lake Blvd Ste A",
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        {
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            "address_1": "40663 Murrieta Hot Springs Rd Ste C3",
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        {
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            "address_1": "10884 Santa Monica Blvd Fl 3",
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            "address_1": "1330 N Rim Dr Ste A",
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            "telephone_number": "888-993-3761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1842 Buenaventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960013700",
            "country_code": "US",
            "telephone_number": "530-986-9160",
            "fax_number": "530-986-9165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Mesquite Ave Ste G102",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035771",
            "country_code": "US",
            "telephone_number": "928-719-8400",
            "fax_number": "928-719-8402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Pacific Ave Ste 604",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334449",
            "country_code": "US",
            "telephone_number": "888-993-3761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5600 California Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933091614",
            "country_code": "US",
            "telephone_number": "661-322-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "652 W 11th St Ste 129",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953763869",
            "country_code": "US",
            "telephone_number": "209-575-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 N Demaree St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914117",
            "country_code": "US",
            "telephone_number": "559-931-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 E Baseline Rd Ste 110",
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            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064413",
            "country_code": "US",
            "telephone_number": "623-267-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25802 Hemingway Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Stevenson Ranch",
            "state": "CA",
            "postal_code": "913812391",
            "country_code": "US",
            "telephone_number": "661-284-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14940 W Indian School Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957307",
            "country_code": "US",
            "telephone_number": "623-250-3090",
            "fax_number": "623-250-3091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20414 N 27th Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850273250",
            "country_code": "US",
            "telephone_number": "623-289-3210",
            "fax_number": "480-454-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA LASER CENTER, PC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Krueger, HHP
• Torsten J Kruse, M.D.
• Amanda Marie Kugel
• Kyu Lee DMD,Inc.
• La Laser Center PC, a Professional Medical Corporation (San Clemente Dermatology and Skin Cancer)
• Sheridan Lamb, OTR/L
• Jeremy Paul Lamotte, MD
• Sophia Chaitha Lancaster, OTR/L
• Ariana Lapierre, IBCLC
• Kelsey Lynn Laser

• Multi-Specialty Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.