DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN VALLECILLOS, MD

Active Sole Proprietor

DR. GLENN VALLECILLOS, MD is a Plastic and Reconstructive Surgery healthcare provider located in BEVERLY HILLS, California. NPI 1902948615 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · BEVERLY HILLS, CA

Registration Details

NPI Number
1902948615
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2007 (19.488154139054 yrs)
Last Updated
Jan 17, 2022
License
A87379 (CA)
Sole Proprietor
Yes

Practice Information

Address
9675 BRIGHTON WAY STE 380
BEVERLY HILLS, CA, 902105187
Browse CA providers · Browse ZIP 90210
Phone
3102733007
Fax
3107331818
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in BEVERLY HILLS, CA

Name Credential NPI
MICHAEL J GROTH MD 1902828007
ROBERT M. APPLEBAUM M.D. 1245246313
KEVIN ALAN BRENNER M.D. 1982716247
JAY CALVERT M.D. 1831201193
SHAPOUR DANIEL GOLSHANI M.D. 1811094576
DR. JEFFREY D HOEFFLIN MD 1750476073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.