# FOUNDATION MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1457631640
- **Authorized official:** KHALID BASHIR AHMED M.D. (OWNER)
- **Authorized official phone:** (562) 695-2282

## Contact information

- **Practice address:** 4511 ROSEMEAD BLVD, PICO RIVERA, CA 90660-2032
- **Practice address phone:** (562) 695-2282
- **Practice address fax:** (562) 695-7252
- **Mailing address:** 4511 ROSEMEAD BLVD, PICO RIVERA, CA 90660-2032
- **Mailing address phone:** (562) 695-2282
- **Mailing address fax:** (562) 695-7252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A40390 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A25158 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A33354 | CA | Yes |

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 03/26/2025
