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DR. GLENN VALLECILLOS MD
NPI 1902948615
Surgery - Plastic and Reconstructive Surgery in Beverly Hills, CA

Active since February 12, 2007
9675 BRIGHTON WAY STE 380, BEVERLY HILLS, CA 90210(310) 273-3007(310) 733-1818 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glenn Vallecillos Md NPPES

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

DR. GLENN VALLECILLOS MD (NPI 1902948615) is an individual plastic and reconstructive surgery provider in Beverly Hills, California, licensed in California (A87379) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1902948615
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. GLENN VALLECILLOSCredential: MD
Location Address9675 BRIGHTON WAY STE 380Beverly Hills, CA 90210-5187
Mailing Address9675 Brighton Way Ste 380Beverly Hills, CA 90210-5187 · (310) 273-3007 · Fax (310) 733-1818
Phone(310) 273-3007
Fax(310) 733-1818
Sole ProprietorYes
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1902948615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · A87379
Definition
A surgeon who specializes in plastic and reconstructive surgery.
9675 BRIGHTON WAY STE 380, Beverly Hills, CA 90210
Open in Google Maps ↗

Other Identifiers 1

Other39-2063599Tax Id

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN SATEY M.D.
Surgery
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Los Angeles County (424) 599-2332
CHELSI DAYRIT FNP-C
Nurse Practitioner (Family)
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Los Angeles County (310) 941-1531
ARMAN HEKMATI M.D.
Internal Medicine (Geriatric Medicine)
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Los Angeles County (310) 281-4999
DR. BRUCE BEEZLEY MCLUCAS M.D.
Specialist
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Los Angeles County (866) 479-1523
BRUCE B MCLUCAS M D A PROFESSIONAL CORPORATION
Obstetrics & Gynecology
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Los Angeles County (866) 479-1523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Vallecillos's NPI number?

The NPI number for Glenn Vallecillos is 1902948615. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Glenn Vallecillos located?

Glenn Vallecillos practices at 9675 Brighton Way Ste 380, Beverly Hills, CA 90210. The listed phone number is (310) 273-3007.

What is Glenn Vallecillos's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Glenn Vallecillos was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.