LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
NPI 1083248850
Clinic/Center - Medical Specialty in Bullhead City, AZ

Active since March 02, 2020
2580 HIGHWAY 95 STE 224, BULLHEAD CITY, AZ 86442(928) 608-5420 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2022, Jun 18, 2021, Mar 2, 2020 (3 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Medical Specialty

About LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for La Laser Center Pc, A Professional Medical Corporation, a provider established in Bullhead City, Arizona operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1083248850 assigned on March 2020. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Daniel Taheri (Owner)

NPI
1083248850 Verify this NPI
Provider Name
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Entity Type
Organization
Location Address
2580 HIGHWAY 95 STE 224 BULLHEAD CITY, AZ 86442
Location Phone
(928) 608-5420
Mailing Address
PO BOX 16297 BEVERLY HILLS, CA 90209
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2020
Last Update Date
01-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL TAHERI

Authorized Official Title
OWNER
Authorized Official Phone
(310) 922-1412

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2580 HIGHWAY 95 STE 224
BULLHEAD CITY, AZ 86442
Internal Medicine (Nephrology)
2580 HIGHWAY 95 STE 224
BULLHEAD CITY, AZ 86442
Internal Medicine (Nephrology)
2580 HIGHWAY 95 STE 224
BULLHEAD CITY, AZ 86442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083248850, enumerated as an "organization" on March 02, 2020.

The provider is located at 2580 HIGHWAY 95 STE 224 BULLHEAD CITY, AZ 86442 and the phone number is (928) 608-5420.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.