# PLASTIC SURGERY CENTER OF THOUSAND OAKS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487701215
- **Authorized official:** BRIAN H SLYWKA M.D. (PRESIDENT)
- **Authorized official phone:** (805) 497-1105

## Contact information

- **Practice address:** 351 ROLLING OAKS DR, SUITE 101, THOUSAND OAKS, CA 91361-1275
- **Practice address phone:** (805) 497-1105
- **Practice address fax:** (805) 497-6144
- **Mailing address:** 351 ROLLING OAKS DR, SUITE 101, THOUSAND OAKS, CA 91361-1275
- **Mailing address phone:** (805) 497-1105
- **Mailing address fax:** (805) 497-6144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020