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MODESTO DERMATOLOGY & SKIN CANCER
NPI 1003449703
Clinic/Center - Medical Specialty in Modesto, CA

Active since February 20, 2020
3105 MCHENRY AVE STE 101, MODESTO, CA 95350(209) 900-1790 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2021, Feb 20, 2020 (2 updates tracked since 2020).

About Modesto Dermatology & Skin Cancer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODESTO DERMATOLOGY & SKIN CANCER (NPI 1003449703) is a healthcare organization registered as a medical specialty in Modesto, California and active in the NPI registry since February 2020. The organization lists Daniel Taheri, Owner, as its authorized official.

NPPES Registry Identity

NPI1003449703
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Location Address3105 MCHENRY AVE STE 101Modesto, CA 95350-1439
Mailing AddressPo Box 16297Beverly Hills, CA 90209-2297
Phone(209) 900-1790
Organization SubpartNo
Authorized OfficialDaniel TaheriOwner · (310) 922-1412
Enumeration DateFebruary 20, 2020
Last NPPES UpdateJanuary 20, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2024
✔ NPI 1003449703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
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).
3105 MCHENRY AVE STE 101, Modesto, CA 95350
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Other Names 1

Doing Business AsModesto Dermatology & Skin Cancer

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGATHA J COVARRUBIAS NP
Nurse Practitioner
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Stanislaus County (209) 575-2700
MARGARET ANH NGUYEN DZIAT AA-C
Physician Assistant (Medical)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Stanislaus County (209) 575-2700
TANNER CAVANAUGH
Physician Assistant (Medical)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Stanislaus County (209) 575-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Laser Center PC, A Professional Medical Corporation's NPI number?

The NPI number for La Laser Center PC, A Professional Medical Corporation is 1003449703. It was assigned to this organization in the NPPES registry on February 20, 2020. The provider is doing business as Modesto Dermatology & Skin Cancer.

Where is La Laser Center PC, A Professional Medical Corporation located?

La Laser Center PC, A Professional Medical Corporation is located at 3105 Mchenry Ave Ste 101, Modesto, CA 95350. The listed phone number is (209) 900-1790.

What is La Laser Center PC, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does La Laser Center PC, A Professional Medical Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 12 other insurers list La Laser Center PC, A Professional Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Laser Center PC, A Professional Medical Corporation was last updated on January 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.