Le Reve Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LE REVE MEDICAL CLINIC PC

Practice address

1827 Powers Ferryy Rd SE BLDG 7, Suite 150
Atlanta, GA 30339

Phone

(770) 575-2420

Fax

(770) 635-8432

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shahin Zohoori, MDNPI 1225414428

Title

Ceo/President

Phone

(770) 575-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shahin Zohoori, M.D.

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1225414428
  NPD Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1881165207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRYY RD SE BLDG 7, SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-575-2420",
            "fax_number": "770-635-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRYY RD SE BLDG 7, SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-575-2420",
            "fax_number": "770-635-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE REVE MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "ZOHOORI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-575-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Thomas Lazzari, MD
• LBS Beauty Lounge
• Lca-Vision
• Lca-Vision Inc
• Le Epanoui Counseling and Therapy
• Le Reve Spinal Care Clinic Co.
• Amia Le
• Dung Kim Le
• Dustin Le, ATC
• Hai Le, CAA

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.