Organization · Type 2 NPI

La Laser Center Pc, A Professional Medical Corporation

Non-Pharmacy Dispensing Site · Goodyear, AZ

NPI number 1104548304 Active

Practice location

700 N Estrella Pkwy Ste 210
Goodyear, AZ 85338-9330

Call (623) 283-6000 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.)

Other non-pharmacy dispensing site providers in Goodyear

La Laser Center Pc, A Professional Medical CorporationNon-Pharmacy Dispensing Site Goodyear, AZ NPI 1891610143

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NPI record

NPI: 1104548304
Entity type: Organization (Type 2)
Issued: Sep 14, 2022
Last updated: Aug 25, 2026
Status: Active

Other names

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Goodyear Dermatology & Skin Cancer · doing business as
Goodyear Dermatology & Skin Cancer · doing business as

Authorized official

Daniel Taheri, MD
Owner
(661) 388-5240

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104548304

La Laser Center Pc, A Professional Medical Corporation's National Provider Identifier is 1104548304, issued on Sep 14, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Goodyear, AZ. The record was last updated on Aug 25, 2026.