NPIMap

Organization Active NPI

La Laser Center PC, a Professional Medical Corporation

  • Medical Specialty Clinic/Center
  • Mesa, AZ
National Provider Identifier
1992427199
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
4140 E Baseline Rd Ste 110
Mesa, AZ 85206-4413
Phone
(623) 283-6060
NPI assigned
Sep 14, 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

4140 E Baseline Rd Ste 110
Mesa, AZ 85206-4413

Mailing address

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

Other names 1

  • Mesa 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

Practitioners & affiliated clinicians

Practitioners 3

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

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": "1705795200000",
    "number": "1992427199",
    "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": "4140 E BASELINE RD STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064413",
            "telephone_number": "623-283-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "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": "Mesa Dermatology & Skin Cancer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mesa Dermatology & Skin Cancer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, 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.