Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn Vallecillos, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1902948615

Dr. Glenn Vallecillos, MD is a Plastic and Reconstructive Surgery Physician in Beverly Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9675 Brighton Way Ste 380
Beverly Hills, CA 90210-5187
Phone: (310) 273-3007
Fax: (310) 733-1818
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Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence A87379 (CA)

Record details

NPI number1902948615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing address9675 Brighton Way Ste 380, Beverly Hills, CA 90210-5187

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