Individual
ILYA REYTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
(818) 907-9506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A79982
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A79982
CA
207NS0135X
Procedural Dermatology Physician
A79982
CA
Other
Enumeration date
10/04/2006
Last updated
08/08/2022
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