Laser Trim Corp

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

LASER TRIM CORP

Doing business as

Trim Body Sculpting
Trim MD Weight Management

Practice address

6100 Lake Forrest Dr Ste 125
Atlanta, GA 30328-3882

Phone

(404) 937-6126

Fax

(404) 341-5463

NPI assigned

Jun 16, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Ryan Pua, MDNPI 1689831778

Title

Physician

Phone

(630) 908-9509

Specialties & licenses 1

Addresses

Other names 2

• Trim Body Sculpting Doing business as
• Trim MD Weight Management Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Ryan Pua, M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Westmont, IL
  • NPI 1689831778
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1861017899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 95TH ST STE 225",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649005",
            "telephone_number": "630-908-9509",
            "fax_number": "404-341-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283882",
            "telephone_number": "404-937-6126",
            "fax_number": "404-341-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER TRIM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "PUA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-908-9509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trim Body Sculpting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trim Body Sculpting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trim MD Weight Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larutan Medical
• Deborah Owusu Laryea, NP
• Jennie R Lasater, MS
• Laurentia Lascar, MD
• Mihai Lascar, MD
• Laser Vision Centers, Inc. (TLC Laser Eye Centers Atlanta)
• Andrew Lash, RN
• Ilya Lashenko, PT, DPT
• Zohra Lasi
• Zofia Maria Lasiecka

• Obesity Medicine (Internal Medicine) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obesity Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.