Organization · Type 2 NPI

La Laser Center Pc, A Professional Medical Corporation

Non-Pharmacy Dispensing Site · Modesto, CA

NPI number 1003449703 Active

Practice location

3105 Mchenry Ave Ste 101
Modesto, CA 95350-1439

Call (209) 900-1790 Map

Mailing address

PO Box 16297
Beverly Hills, CA 90209-2297

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: 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.)

3 other providers at this address

Other non-pharmacy dispensing site providers in Modesto

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NPI record

NPI: 1003449703
Entity type: Organization (Type 2)
Issued: Feb 20, 2020
Last updated: Aug 25, 2026
Status: Active

Other names

<unavail>
Modesto Dermatology & Skin Cancer · doing business as
Modesto Dermatology & Skin Cancer · doing business as

Authorized official

Daniel Taheri
Owner
(310) 922-1412

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About NPI 1003449703

La Laser Center Pc, A Professional Medical Corporation's National Provider Identifier is 1003449703, issued on Feb 20, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Modesto, CA. The record was last updated on Aug 25, 2026.