LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1548893241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548893241 |
| Entity Type | Organization |
| Organization Name | LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
631 W Avenue Q Ste B Palmdale CA 93551-3892 |
| Mailing Address |
Po Box 16297 Beverly Hills CA 90209-2297 |
| Practice Telephone | 6619479000 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DANIEL TAHERI (OWNER) |
| Authorized Official Telephone | 3109221412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Dermatology & Skin Cancer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
| Street Address |
631 W AVENUE Q STE B |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-3892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831148501 | Moutasem Abaza | Dermatology | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2006-05-09 |
| 1891231924 | Clarence Chu | Dermatology | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2017-01-12 |
| 1083069793 | Damion D. Rodeback | Dermatology | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2016-05-01 |
| 1366724650 | Aaron Bledsoe | Physician Assistant | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2011-09-13 |
| 1790818201 | Julian Garcia | Pathology | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2007-03-13 |
| 1215943758 | James L Reith | Dermatology | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727867 | Av Institute of Orthopedics Inc | Clinic/Center | 5558 Bienveneda Ter, Palmdale, CA 93551-5728 | 2007-12-20 |
| 1174008148 | Prithviraj Dharmaraja, Md, Inc. | Clinic/Center | 41301 12th St W Ste A, Palmdale, CA 93551-1465 | 2018-09-26 |
| 1285930396 | Tarzana Treatment Centers, Inc. | Clinic/Center | 320 E Palmdale Blvd, Palmdale, CA 93550-4598 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1588286603 | Tri Health Medical Institute Management Company LLC | Clinic/Center | 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 | 2020-05-12 |
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.