DR. GLENN VALLECILLOS MD NPI 1902948615

NPI Information

NPI: 1902948615
Provider Name: DR. GLENN VALLECILLOS, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 273-3007
Get Directions

DR. Glenn Vallecillos, MD is a plastic and reconstructive surgery surgery in Beverly Hills, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Glenn Vallecillos, MD NPI is 1902948615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA
ZIP 90210-187
Phone: (310) 273-3007
Fax: (310) 733-1818

The enumeration date for this NPI number is 2/12/2007 and was last updated on 1/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	A87379	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39-2063599	OTHER		TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »