Organization
THE INSTITUTE FOR ADVANCED BREAST RECONSTRUCTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHIVYA SRINIVASA MD (CEO)
(818) 671-7956
Entity
Organization
Contact information
Practice address
415 ROLLING OAKS DR STE 220, THOUSAND OAKS, CA 91361-1046
(818) 336-1295
Mailing address
5887 ANNIE OAKLEY RD, HIDDEN HILLS, CA 91302-1200
(818) 671-7956
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
05/28/2024
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