Healthcare Provider Details

I. General information

NPI: 1427352053
Provider Name (Legal Business Name): MY SKIN INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 GEER RD STE 200
TURLOCK CA
95382-1146
US

IV. Provider business mailing address

3800 GEER RD STE 200
TURLOCK CA
95382-1146
US

V. Phone/Fax

Practice location:
  • Phone: 209-668-3063
  • Fax: 209-668-4992
Mailing address:
  • Phone: 209-580-5412
  • Fax: 209-668-4992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA TURNER
Title or Position: HR DIRECTOR
Credential:
Phone: 214-766-2367