Daniel Taheri, MD | |
10884 Santa Monica Blvd, 3rd Floor, Los Angeles, CA 90025-4646 | |
(310) 446-4400 | |
(310) 446-4408 |
Full Name | Daniel Taheri |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 31 Years |
Location | 10884 Santa Monica Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992774681 | NPI | - | NPPES |
G80445 | Other | CA | CALIFORNIA MEDICAL LICENSE |
11900 | Other | NV | NEVADA MEDICAL LICENSE |
37910 | Other | AZ | ARIZONA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | G80445 (California) | Secondary |
207N00000X | Dermatology | G80445 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
La Laser Center Pc A Professional Medical Corporation | 9537181185 | 66 |
Daniel Taheri Md Pc | 8325142334 | 8 |
La Laser Center Pc A Professional Medical Corporation | 9537181185 | 66 |
Entity Name | Daniel Taheri Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922144450 PECOS PAC ID: 2769378090 Enrollment ID: O20040224001065 |
Entity Name | La Laser Center Pc A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306982855 PECOS PAC ID: 9537181185 Enrollment ID: O20051222000459 |
Mailing Address | Practice Location Address |
---|---|
Daniel Taheri, MD 2409 Artesia Blvd Fl 2, Redondo Beach, CA 90278-3207 Ph: (424) 276-4700 | Daniel Taheri, MD 10884 Santa Monica Blvd, 3rd Floor, Los Angeles, CA 90025-4646 Ph: (310) 446-4400 |
Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200 | |
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307 | |
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973 | |
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514 | |
Marie-josee Thibault, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045 Phone: 310-301-8708 Fax: 310-301-8751 | |
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420 | |
Dr. Eric Joel Meinhardt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025 Phone: 310-275-1170 Fax: 310-275-1076 |