Organization
FOUNDATION MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID BASHIR AHMED M.D. (OWNER)
(562) 695-2282
Entity
Organization
Contact information
Practice address
4511 ROSEMEAD BLVD, PICO RIVERA, CA 90660-2032
(562) 695-2282
(562) 695-7252
Mailing address
4511 ROSEMEAD BLVD, PICO RIVERA, CA 90660-2032
(562) 695-2282
(562) 695-7252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A40390
CA
207X00000X
Orthopaedic Surgery Physician
A25158
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A33354
CA
Other
Enumeration date
08/19/2011
Last updated
03/26/2025
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