LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION


Address: 3105 Mchenry Ave Ste 101, Modesto, CA 95350-1439
Phone: 2095752700

LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1003449703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003449703
Entity Type Organization
Organization Name LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Practice Address 3105 Mchenry Ave Ste 101
Modesto
CA 95350-1439
Mailing Address Po Box 16297
Beverly Hills
CA 90209-2297
Practice Telephone 2095752700
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Modesto Dermatology & Skin Cancer Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3105 MCHENRY AVE STE 101
City MODESTO
State CA
Zip Code 95350-1439

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467767541 Theodore E. Staahl Md Inc Clinic/Center 1329 Spanos Ct, Suite A-1, Modesto, CA 95355-2806 2010-08-12
1306039706 Alexander A Davis, Md Inc Clinic/Center 1401 Spanos Court, Suite 101, Modesto, CA 95355-2812 2007-08-20
1396954921 Jackie T. Chan, M.d., Inc. Clinic/Center 809 Sylvan Ave, Suite 400, Modesto, CA 95350-1500 2007-05-21

Providers in the same taxonomy and state

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

Competitor

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City MODESTO
Zip Code 95350

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Dataset Information

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.

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