MEDICARE: DANIEL TAHERI MD PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207ND0101X	MOHS-Micrographic Surgery Physician
3	207ZD0900X	Dermatopathology (Pathology) Physician
4	207ND0900X	Dermatopathology Physician
5	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1407992217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL TAHERI MD PC

Provider Business Mailing Address
First Line	:	PO BOX 16297
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90209-2297
Country	:	US
Telephone Number	:	424-276-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5731 S FORT APACHE RD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5666
Country	:	US
Telephone Number	:	702-272-1600
Fax Number	:	702-272-1640

Authorized Official
Title or Position	:	CEO
Name	:	DR. DANIEL P TAHERI
Credential	:	MD
Telephone Number	:	661-388-5240

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/24/2026

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