La Laser Center Pc, a Professional Medical Corporation
NPI #1780217489 in Bishop, California
Provider Information
- NPI Number
- 1780217489
- Entity Type
- Organization
- Organization Name
- La Laser Center Pc, a Professional Medical Corporation
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Feb 20, 2020
- Last Updated
- Jun 18, 2021
Practice Location
- Address
- 621 W LINE ST STE 105
- City
- Bishop
- State
- California
- ZIP Code
- 93514-3320
- Phone
- (760) 873-8781
Authorized Official
- Name
- DANIEL TAHERI
- Title
- OWNER
- Phone
- (310) 922-1412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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