Ilya Reyter
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
4836 Van Nuys Blvd
Sherman Oaks
, California 91403-2101
Ilya Reyter
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
4836 Van Nuys Blvd
Sherman Oaks
, California 91403-2101
(818) 907-9506
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Ilya Reyter
- 4836 Van Nuys Blvd
- Sherman Oaks, CA
- Zip : 91403-2101
- Fax : (818) 907-9506
- Phone : (818) 907-7546
Second Address
- Ilya Reyter
- 4836 Van Nuys Blvd
- Sherman Oaks, CA
- Zip : 91403-2101
- Fax : (818) 907-9506
- Phone : (818) 907-7546
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | A79982 | CA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | A79982 | CA |
| N | 207NS0135X | Procedural Dermatology | A79982 | CA |
National Provider Identifier
| NPI | 1558456517 |
|---|---|
| Provider Name | Ilya Reyter |
| First Address | Sherman Oaks, CA 91403-2101 |
| Second Address | Sherman Oaks, CA 91403-2101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 14/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I63792 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.