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MD LASER CENTER
NPI 1467767541
Clinic/Center - Medical Specialty in Modesto, CA

Active since August 12, 2010
1329 SPANOS CT, SUITE A-1, MODESTO, CA 95355(209) 577-5700(209) 577-5968 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Md Laser Center NPPES

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

MD LASER CENTER (NPI 1467767541) is a healthcare organization registered as a medical specialty in Modesto, California and active in the NPI registry since August 2010. The organization lists Nancy Staahl, Administrator/office Manager, as its authorized official.

NPPES Registry Identity

NPI1467767541
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHEODORE E. STAAHL MD INC
Location Address1329 SPANOS CT, SUITE A-1Modesto, CA 95355-2806
Mailing Address1329 Spanos Ct, Suite A-1Modesto, CA 95355-2806 · (209) 577-5700 · Fax (209) 577-5968
Phone(209) 577-5700
Fax(209) 577-5968
Organization SubpartNo
Authorized OfficialNancy StaahlAdministrator/office Manager · (209) 577-5700
Enumeration DateAugust 12, 2010
Last NPPES UpdateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1467767541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · G37452
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).
1329 SPANOS CT, Modesto, CA 95355
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Other Names 1

Other NameMd Laser Center

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.

KAREN MICHELLE BARBE PA
Physician Assistant (Surgical)
1329 SPANOS CT, SUITE B4
MODESTO, CA 95355
Stanislaus County (209) 300-7947
ANTONIO K COIRIN M.D. INC.
Specialist
1329 SPANOS CT, SIUTE B4
MODESTO, CA 95355
Stanislaus County (209) 300-7947
DREW H. LOGUE, M.D., INC.
Specialist
1329 SPANOS CT, SUITE C-3
MODESTO, CA 95355
Stanislaus County (209) 578-3170

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 Theodore E. Staahl MD Inc's NPI number?

The NPI number for Theodore E. Staahl MD Inc is 1467767541. It was assigned to this organization in the NPPES registry on August 12, 2010. The provider is also known as MD Laser Center.

Where is Theodore E. Staahl MD Inc located?

Theodore E. Staahl MD Inc is located at 1329 Spanos Ct Suite A-1, Modesto, CA 95355. The listed phone number is (209) 577-5700.

What is Theodore E. Staahl MD Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore E. Staahl MD Inc was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.