NPIMap

Organization Active NPI

La Laser Center PC, a Professional Medical Corporation

  • Medical Specialty Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1619699360
Registry record updated Jan 21, 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
Practice address
2730 S Val Vista Dr Ste 169
Gilbert, AZ 85295-1683
Phone
(623) 226-8700
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 Primary

Addresses

Primary practice location

2730 S Val Vista Dr Ste 169
Gilbert, AZ 85295-1683

Mailing address

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

Other names 1

  • Gilbert Dermatology & Skin Cancer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Laser Center PC a Professional Medical Corporation39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

2585 Miracle Mile
Ste 120
Bullhead City, AZ 86442
Phone (928) 444-8784

2730 S Val Vista Dr
Ste 169
Gilbert, AZ 85295
Phone (480) 981-8339

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1619699360",
    "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": "2730 S VAL VISTA DR STE 169",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951683",
            "telephone_number": "623-226-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbert Dermatology & Skin Cancer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.