ARIZONA SKIN AND LASER THERAPY INSTITUTE, LLC
NPI 1790732832
Dermatology in Phoenix, AZ

Q: What is Arizona Skin And Laser Therapy Institute, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 27, 2006

2224 W NORTHERN AVE, SUITE D-300, PHOENIX, AZ 85021(602) 277-1449(602) 277-9984 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Arizona Skin And Laser Therapy Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA SKIN AND LASER THERAPY INSTITUTE, LLC (NPI 1790732832) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since May 2006. The organization lists William Ko, Managing Employee, as its authorized official.

NPPES Registry Identity

NPI1790732832

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameARIZONA SKIN AND LASER THERAPY INSTITUTE, LLC

Location Address2224 W NORTHERN AVE, SUITE D-300Phoenix, AZ 85021-4928

Mailing Address9900 N Central Expy Ste 500Dallas, TX 75231-0928 · (602) 277-1449 · Fax (602) 277-9984

Phone(602) 277-1449

Fax(602) 277-9984

Organization SubpartNo

Authorized OfficialWilliam KoManaging Employee · (602) 277-1449

Enumeration DateMay 27, 2006

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1790732832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2224 W NORTHERN AVE, Phoenix, AZ 85021

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arizona Skin And Laser Therapy Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Arizona Skin And Laser Therapy Institute, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology7

Nurse Practitioner5

Radiation Oncology1