Organization
FOSTER CITY PEDIATRIC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBHA AAHLAD MD (PARTNER CEO)
(650) 574-2774
Entity
Organization
Contact information
Practice address
1295 E HILLSDALE BLVD, FOSTER CITY, CA 94404
(650) 574-2774
(650) 341-9236
Mailing address
1295 E HILLSDALE BLVD, FOSTER CITY, CA 94404
(650) 574-2774
(650) 341-9236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0080460
MEDI-CAL
CA
01
—
ZZZ17671Z
BLUE SHIELD OF CA
CA
Enumeration date
09/27/2006
Last updated
08/22/2020
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