Organization · Type 2 NPI

La Laser Center Pc, A Professional Medical Corporation

Non-Pharmacy Dispensing Site · Gilbert, AZ

NPI number 1619699360 Active

Practice location

2730 S Val Vista Dr Ste 169
Gilbert, AZ 85295-1683

Call (480) 257-5720 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.)

Another provider at this address

Joseph Isaiah BradyPhysician Assistant Gilbert, AZ NPI 1396479747

Other non-pharmacy dispensing site providers in Gilbert

See all in Gilbert →

NPI record

NPI: 1619699360
Entity type: Organization (Type 2)
Issued: Sep 19, 2022
Last updated: Sep 16, 2026
Status: Active

Other names

<unavail>
Gilbert Dermatology & Skin Cancer · doing business as
Skin and Cancer Institute - Gilbert · 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 1619699360

La Laser Center Pc, A Professional Medical Corporation's National Provider Identifier is 1619699360, issued on Sep 19, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Gilbert, AZ. The record was last updated on Sep 16, 2026.