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: July 19, 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
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

Other Identifiers 1

Other39-2063599Tax Id

Reviews for DR. GLENN VALLECILLOS MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Internal Medicine (Geriatric Medicine)
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Surgery
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Specialist
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210
Obstetrics & Gynecology
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA 90210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902948615, enumerated as an "individual" on February 12, 2007.

The provider is located at 9675 BRIGHTON WAY STE 380 BEVERLY HILLS, CA 90210 and the phone number is (310) 273-3007.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.