Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

American Skin Institute Inc

Organization Dermatology Physician · NPI 1023377082

American Skin Institute Inc provides Dermatology Physician services in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4836 Van Nuys Blvd
Sherman Oaks, CA 91403-2101
Phone: (818) 907-7546
Fax: (818) 907-9506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A79982 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A79982 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence A79982 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A79982 (CA)

Record details

NPI number1023377082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Reyter — President · (818) 907-7546
NPI enumeratedMay 11, 2012
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026
Mailing address4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101

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