MEDICARE: ADVANCED LASER & SURGICENTER OF ARIZONA, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	OSC3540	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0209500	OTHER		BCBS OF AZ
2	AZ0209500	OTHER		TRICARE
3	907610	OTHER	AZ	AZ HEALTH CARE COST SYS
4	IZ0620	OTHER	AZ	HEALTH NET INS

General Provider Information

NPI Number	:	1538113238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED LASER & SURGICENTER OF ARIZONA, PC

Provider Business Mailing Address
First Line	:	3303 E BASELINE RD
Second Line	:	#104
City	:	GILBERT
State	:	AZ
Zip	:	85234-2739
Country	:	US
Telephone Number	:	480-632-2020
Fax Number	:	480-632-2121

Provider Business Practice Location Address
First Line	:	3303 E BASELINE RD
Second Line	:	#104
City	:	GILBERT
State	:	AZ
Zip	:	85234-2739
Country	:	US
Telephone Number	:	480-632-2020
Fax Number	:	480-632-2121

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KIANOUSH KIAN
Credential	:	MD
Telephone Number	:	480-632-2020

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	05/08/2013

Similar Medicare Providers

1417170432 — DR. DAVID TODD GOLDENBERG MD
Practice Location Address:

3303 E BASELINE RD STE 108
GILBERT, AZ
85234-2739

Practice Phone: 480-534-7333
Practice Fax: 480-534-7333

1619181260 — DR. SACHIN MEHTA M.D.
Practice Location Address:

3303 E BASELINE RD STE 108
GILBERT, AZ
85234-2739

Practice Phone: 480-534-7333
Practice Fax: 480-534-7333

1245284934 — ADVANCED LASER &EYE CENTER OF ARIZONA PC
Practice Location Address:

3303 E BASELINE RD , #104
GILBERT, AZ
85234-2739

Practice Phone: 480-632-2020
Practice Fax: 480-632-2121

1083855878 — LIZA GIANETTO LPC
Practice Location Address:

3303 E BASELINE RD STE 109
GILBERT, AZ
85234-2739

Practice Phone: 480-233-3720
Practice Fax: 480-559-9701

1730480856 — DR. BEVERLY VALENTINE PSY.D.
Practice Location Address:

3303 E BASELINE RD STE 109
GILBERT, AZ
85234-2739

Practice Phone: 480-341-1885
Practice Fax: 602-753-9527

1629426507 — PROGRESSIVE SLEEP & WELLNESS PLLC
Practice Location Address:

3303 E BASELINE RD STE 105
GILBERT, AZ
85234-2739

Practice Phone: 480-507-1993
Practice Fax: 480-507-3876

Directions to “ADVANCED LASER & SURGICENTER OF ARIZONA, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.