Glenn Vallecillos in Beverly Hills - Plastic And Reconstructive Surgery
Glenn Vallecillos - NPI 1902948615
Glenn Vallecillos is a Plastic And Reconstructive Surgery in Beverly Hills, California. Glenn Vallecillos practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Glenn Vallecillos is 1902948615. The last update date is 2022-01-17.
Glenn Vallecillos's current location address is 9675 Brighton Way Ste 380, Beverly Hills, California. You can contact this provider via phone number 3102733007 and fax number 3107331818. The mailing address for Glenn Vallecillos is 9675 Brighton Way Ste 380, Beverly Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Vallecillos |
|---|---|
| Address | 9675 Brighton Way Ste 380, Beverly Hills, California |
| Phone Number | 3102733007 |
| Fax Number | 3107331818 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902948615 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2022-01-17 |
Provider Mailing Address Detail
| Address | 9675 Brighton Way Ste 380 |
|---|---|
| City | Beverly Hills |
| State | California (CA) |
| Post Code | 902105187 |
| Phone Number | 3102733007 |
| Fax Number | 3107331818 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | A87379 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39-2063599 | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Glenn Vallecillos by the Centers for Medicare & Medicaid Services?
The Glenn Vallecillos has been issued the NPI (National Provider Identifier) 1902948615, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Glenn Vallecillos is geographically located?
The Glenn Vallecillos is physically situated at the following location: 9675 Brighton Way Ste 380, Beverly Hills, CA, 902105187.
What is Glenn Vallecillos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenn Vallecillos's specialized field of practice is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902948615 to Glenn Vallecillos?
The Centers for Medicare & Medicaid Services assigned the 1902948615 to Glenn Vallecillos on 2007-02-12.
When was the information regarding Glenn Vallecillos, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glenn Vallecillos, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-17.
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