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

The Institute for Advanced Breast Reconstruction Inc

Organization Plastic Surgery Physician · NPI 1700458973

The Institute for Advanced Breast Reconstruction Inc is a Plastic Surgery Physician in Thousand Oaks, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1046
Phone: (818) 336-1295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1700458973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dhivya Srinivasa — Ceo · (818) 671-7956
NPI enumeratedJuly 15, 2021
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address5887 Annie Oakley Rd, Hidden Hills, CA 91302-1200

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