LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1780217489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780217489 |
| Entity Type | Organization |
| Organization Name | LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
621 W Line St Ste 105 Bishop CA 93514-3320 |
| Mailing Address |
Po Box 16297 Beverly Hills CA 90209-2297 |
| Practice Telephone | 7608738781 |
| Mailing Telephone | 7608738781 |
| 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 |
|---|---|
| Bishop 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 |
| 1003449703 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 3105 Mchenry Ave Ste 101, Modesto, CA 95350-1439 | 2020-02-20 |
| Street Address |
621 W LINE ST STE 105 |
| City | BISHOP |
| State | CA |
| Zip Code | 93514-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1982242590 | Amy Tran | Pharmacist | 1190 N Bishop St, Bishop, CA 93514 | 2019-12-13 |
| 1083266654 | Teresa Michelle Poirier | Psychologist | 512 W. Line Street, Suite 101, Bishop, CA 93514 | 2019-07-12 |
| 1477021756 | Linda M Christensen | Social Worker | 686 W. Line St., Bishop, CA 93514 | 2018-11-05 |
| 1013491497 | Kathleen Lynn Chandler | Massage Therapist | 214 W Line Street, Suite J, Bishop, CA 93514 | 2018-09-20 |
| 1477055390 | Alex Ds Ellis | Marriage & Family Therapist | 129 East Line St, Bishop, CA 93514 | 2018-03-07 |
| 1205366184 | Carla Orieta | Social Worker | 162 J-grove St., Bishop, CA 93514 | 2017-06-14 |
| 1871905778 | Bahman Payman | Obstetrics & Gynecology | 1500 Bear Creek Dr., Bishop, CA 93514 | 2014-05-27 |
| 1093972697 | Emery Joseph Duncan Dds Apc | Dentist | 325 Grove St, Bishop, CA 93514 | 2008-05-21 |
| 1407034622 | Steven Neal White | Acupuncturist | 162 E Line St Ste A, Bishop, CA 93514 | 2008-02-11 |
| Find all providers in zip 93514 | ||||
| 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] |
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| 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 |
| 1003449703 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 3105 Mchenry Ave Ste 101, Modesto, CA 95350-1439 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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| 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.