Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Institute for Advanced Breast Reconstruction Inc

Organization Plastic Surgery Physician · NPI 1700458973

The Institute for Advanced Breast Reconstruction Inc provides Plastic Surgery Physician services 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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