Organization
AMERICAN SKIN INSTITUTE INC.
Active
Organization
AMERICAN SKIN INSTITUTE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA REYTER M.D. (PRESIDENT)
(818) 907-7546
Entity
Organization
Contact information
Practice address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
(818) 907-9506
Mailing address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
(310) 491-7953
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A79982
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A79982
CA
207ND0900X
Dermatopathology Physician
A79982
CA
207NS0135X
Procedural Dermatology Physician
A79982
CA
Other
Enumeration date
05/11/2012
Last updated
06/13/2025
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