# INSTITUTE FOR SPECIALIZED MEDICINE,INC

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

## Provider details

- **NPI number:** 1881870566
- **Authorized official:** DR. ALEXANDER R SHIKHMAN M.D., PH.D. (CEO)
- **Authorized official phone:** (858) 405-0553

## Contact information

- **Practice address:** 4125 SORRENTO VALLEY BLVD, SUITE A & C, SAN DIEGO, CA 92121-1423
- **Practice address phone:** (858) 794-9192
- **Practice address fax:** (858) 794-9164
- **Mailing address:** 4125 SORRENTO VALLEY BLVD, SUITE A & C, SAN DIEGO, CA 92121-1423
- **Mailing address phone:** (858) 794-9192
- **Mailing address fax:** (858) 794-9164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A62637 | CA | Yes |

## Other

- **Enumeration date:** 01/13/2008
- **Last updated:** 08/22/2018
