Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
NPI 1104548304
Non-Pharmacy Dispensing Site in Goodyear, AZ

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since September 14, 2022

700 N ESTRELLA PKWY STE 210, GOODYEAR, AZ 85338(623) 283-6000 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Sep 14, 2022 (2 updates tracked since 2022).

On this page

About La Laser Center Pc, A Professional Medical Corporation NPPES

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

LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION (NPI 1104548304), doing business as Goodyear Dermatology & Skin Cancer, is a healthcare organization registered as a non-pharmacy dispensing site in Goodyear, Arizona and active in the NPI registry since September 2022. The organization lists Daniel Taheri, Owner, as its authorized official.

NPPES Registry Identity

NPI1104548304

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameLA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

Location Address700 N ESTRELLA PKWY STE 210Goodyear, AZ 85338-9330

Mailing AddressPo Box 16297Beverly Hills, CA 90209-2297 · (661) 388-5240

Phone(623) 283-6000

Organization SubpartNo

Authorized OfficialDaniel TaheriOwner · (661) 388-5240

Enumeration DateSeptember 14, 2022

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1104548304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

700 N ESTRELLA PKWY STE 210, Goodyear, AZ 85338

Open in Google Maps ↗

Other Names 1

Doing Business AsGoodyear Dermatology & Skin Cancer

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 1104548304. It was assigned to this organization in the NPPES registry on September 14, 2022. The provider is doing business as Goodyear 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 700 N Estrella Pkwy Ste 210, Goodyear, AZ 85338. The listed phone number is (623) 283-6000.

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for La Laser Center PC, A Professional Medical Corporation was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.