Active NPI
Laser Spine Center, LLC
- Neurological Surgery Physician
- Los Angeles, CA
National Provider Identifier
1114758588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- LASER SPINE CENTER, LLC
- Practice address
- 2080 Century Park E Ste 500
Los Angeles, CA 90067-2008 - Phone
- (770) 997-0600
- Fax
- (678) 565-3625
- NPI assigned
- Aug 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahram Rezaiamiri, MD
- Title
- Doctor
- Phone
- (770) 997-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
2080 Century Park E Ste 500
Los Angeles, CA 90067-2008
Mailing address
1944 Clairmont Rd
Decatur, GA 30033-3406
Phone (770) 997-0600
National Provider Directory
National Provider DirectoryLocations
2080 Century Park E
Ste 500
Los Angeles, CA 90067
Phone (714) 508-1981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1114758588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333406",
"telephone_number": "770-997-0600",
"fax_number": "678-565-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK E STE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672008",
"telephone_number": "770-997-0600",
"fax_number": "678-565-3625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER SPINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "REZAIAMIRI",
"authorized_official_first_name": "SHAHRAM",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "770-997-0600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.