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 1104687763
Non-Pharmacy Dispensing Site in Temecula, CA

Active since January 22, 2024
30589 TEMECULA PKWY, TEMECULA, CA 92592(559) 715-2430 Get Directions Write a Review

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

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 1104687763) is a healthcare organization registered as a non-pharmacy dispensing site in Temecula, California and active in the NPI registry since January 2024. The organization lists Daniel Taheri, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104687763
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Location Address30589 TEMECULA PKWYTemecula, CA 92592-2840
Mailing AddressPo Box 16297Beverly Hills, CA 90209-2297
Organization SubpartNo
Authorized OfficialDaniel TaheriCeo · (310) 762-1055
Enumeration DateJanuary 22, 2024
Last NPPES UpdateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
NPI 1104687763 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.)
30589 TEMECULA PKWY, Temecula, CA 92592

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physician Assistant
30589 TEMECULA PKWY
TEMECULA, CA 92592

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 1104687763. It was assigned to this organization in the NPPES registry on January 22, 2024.

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

La Laser Center PC, A Professional Medical Corporation is located at 30589 Temecula Pkwy, Temecula, CA 92592. The listed phone number is (559) 715-2430.

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.

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 13 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 August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.