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

Arizona Skin and Laser Therapy Institute, LLC

Organization Dermatology Physician · NPI 1790732832

Arizona Skin and Laser Therapy Institute, LLC provides Dermatology Physician services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2224 W Northern Ave Ste D-300
Phoenix, AZ 85021-4928
Phone: (602) 277-1449
Fax: (602) 277-9984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (AZ)

Record details

NPI number1790732832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Ko — Managing Employee · (602) 277-1449
NPI enumeratedMay 27, 2006
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address9900 N Central Expy Ste 500, Dallas, TX 75231-0928

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