Active NPI
Le Yuan Aesthetic LLC
- Clinic/Center
- Marietta, GA
National Provider Identifier
1700609708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LE YUAN AESTHETIC LLC
- Practice address
- 711 Canton Rd NE Ste 400
Marietta, GA 30060-8949 - Phone
- (248) 202-5931
- NPI assigned
- Nov 6, 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
- Frank Yuan
- Title
- Owner
- Phone
- (248) 202-5931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
711 Canton Rd NE Ste 400
Marietta, GA 30060-8949
Mailing address
140 Belmont Trce
Sandy Springs, GA 30328-3066
Phone (248) 202-5931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250312002292 | GA | Part B Supplier - Clinic/Group Practice | 3375064884 |
Receives reassigned benefits from 1 practitioner Practice locations: Marietta, GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1700609708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BELMONT TRCE",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283066",
"telephone_number": "248-202-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 CANTON RD NE STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608949",
"telephone_number": "248-202-5931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE YUAN AESTHETIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "YUAN",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-202-5931"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.