LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
NPI 1104687763
Non-Pharmacy Dispensing Site in Temecula, CA

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 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: October 25, 2026.

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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

Phone(559) 715-2430

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

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Other Providers at the Same Location NPPES

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

JOEL ROBERTS PA-S

Physician Assistant

30589 TEMECULA PKWY
TEMECULA, CA 92592

Riverside County (951) 412-1540

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.

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 2 months 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.