Organization
LASER SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM REZAIAMIRI MD (DOCTOR)
(770) 997-0600
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 500, LOS ANGELES, CA 90067-2008
(770) 997-0600
(678) 565-3625
Mailing address
1944 CLAIRMONT RD, DECATUR, GA 30033-3406
(770) 997-0600
(678) 565-3625
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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