La Laser Center PC, A Professional Medical Corporation
Clinic/Center, Medical Specialty in Las Vegas, NV. Organization (NPI-2).
NPI number1477314029
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1477314029
- Entity type
- Organization (NPI-2)
- Legal business name
- La Laser Center PC, A Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jan 22, 2024
- Certification date
- Jan 21, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
2615 Box Canyon DrLas Vegas, NV 89128-0450
Phone 775-437-1520
Mailing address
Po Box 16297Beverly Hills, CA 90209-2297
Authorized official
Daniel Taheri
Ceo
3107621055
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