Integrative Operating Theatres, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTEGRATIVE OPERATING THEATRES, INC.

Practice address

9675 Brighton Way Ste B1
Beverly Hills, CA 90210-5144

Phone

(310) 273-3007

Fax

(310) 733-1818

NPI assigned

Feb 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn Vallecillos, MD

Title

Ceo/Medical Director

Phone

(310) 273-3007

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1780277012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 380",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105187",
            "telephone_number": "310-273-3007",
            "fax_number": "310-733-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE B1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105144",
            "telephone_number": "310-273-3007",
            "fax_number": "310-733-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE OPERATING THEATRES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "VALLECILLOS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-273-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspired Compounds Inc
• Institute for Spinal Health
• Institute of Biobehavioral Medicine
• Integrated Surgery Center LLC
• Integrative Institute for Eastwest a Medical Corporation
• Integrative Psychotherapy Group, a Marriage and Family Therapy Corp
• Intelligent Pain Solutions
• International Advanced Surgical Institute, Inc
• International Orthopedic Center for Joint Disorders a Medical Corp
• International Surgical Institute,.a.M.C

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.