FRESNO DERMATOLOGY & SKIN CENTER – NPI #1013540715
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

FRESNO DERMATOLOGY & SKIN CENTER is an AHC clinic located in FRESNO, CA. NPPES has assigned the NPI number 1013540715 to FRESNO DERMATOLOGY & SKIN CENTER on February 20, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESNO DERMATOLOGY & SKIN CENTER” is a dba name, the actual legal business name for this organization is LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 2 years ago on Jan 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRESNO DERMATOLOGY & SKIN CENTER below.

NPI Profile for
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1013540715
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Doing Business As (dba): FRESNO DERMATOLOGY & SKIN CENTER
Primary location
6181 N THESTA ST STE 104
FRESNO, CA 93710-8604
Phone: (559) 825-0300 Fax:
Mailing address
PO BOX 16297
BEVERLY HILLS, CA 90209-2297
Phone: Fax:
Organization Subpart
No
Authorized Official
DANIEL TAHERI
OWNER
Phone: (310) 922-1412
Updated
Certification Date
Jan 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.