Active NPI
Laser Spine Surgery Center, LLC
- Neurological Surgery Physician
- Los Angeles, CA
National Provider Identifier
1912738386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- LASER SPINE SURGERY CENTER, LLC
- Practice address
- 2080 Century Park E
Ste 606
Los Angeles, CA 90067-2029 - Phone
- (310) 677-0000
- 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
- President
- 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 606
Los Angeles, CA 90067-2029
Mailing address
1944 Clairmont Rd
Decatur, GA 30033-3406
Phone (770) 997-0600
Other names 1
- Laser Spine Center, LLC
National Provider Directory
National Provider DirectoryLocations
1944 Clairmont Rd
Decatur, GA 30033
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": "1770854400000",
"number": "1912738386",
"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",
"address_2": "STE 606",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672029",
"telephone_number": "310-677-0000",
"fax_number": "678-565-3625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER SPINE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "REZAIAMIRI",
"authorized_official_first_name": "SHAHRAM",
"authorized_official_title_or_position": "PRESIDENT",
"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": [
{
"organization_name": "Laser Spine Center, LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.