Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Skin and Laser Therapy Institute, LLC

Organization Dermatology Physician · NPI 1790732832

Arizona Skin and Laser Therapy Institute, LLC is a Dermatology Physician 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
Show map & directions

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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