person
Dr. Glenn Vallecillos, MD
Plastic and Reconstructive Surgery Physician in Beverly Hills, California
NPI 1902948615

Glenn Vallecillos is a Plastic and Reconstructive Surgery Physician based in Beverly Hills, CA and is specialized in Plastic and Reconstructive Surgery. Glenn Vallecillos practices in Beverly Hills, CA and has the professional credentials of MD. The NPI Number for Glenn Vallecillos is 1902948615 and holds a License No. A87379 (California).

The current practice location address for Glenn Vallecillos is 9675 Brighton Way Ste 380, Beverly Hills, CA and can be reached out via phone at 310-273-3007 and via fax at 310-733-1818.

Location: 9675 Brighton Way Ste 380, Beverly Hills, CA, 90210-5187
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Provider Profile Details
NPI Number
1902948615
Provider Name
Glenn Vallecillos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9675 Brighton Way Ste 380, Beverly Hills, CA, 90210-5187
Phone Number
310-273-3007
Fax Number
310-733-1818
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39-2063599 01 TAX ID
institution
Provider Business Practice Location Address Details
Address
9675 Brighton Way Ste 380
City
State
Zip
90210-5187
Phone Number
310-273-3007
Fax Number
310-733-1818
person
Provider Business Mailing Address Details
Address
9675 Brighton Way Ste 380
City
State
Zip
90210-5187
Phone Number
310-273-3007
Fax Number
310-733-1818
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
A87379 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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