| Foundation Medical Group, Inc. | |
|
4511 Rosemead Blvd Pico Rivera CA 90660-2032 | |
| (562) 695-2282 | |
| (562) 695-7252 |
| Full Name | Foundation Medical Group, Inc. |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 4511 Rosemead Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Khalid Bashir Ahmed (OWNER) |
| Authorized Official Contact | 5626952282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Medical Group, Inc. 4511 Rosemead Blvd Pico Rivera CA 90660-2032 Ph: (562) 695-2282 | Foundation Medical Group, Inc. 4511 Rosemead Blvd Pico Rivera CA 90660-2032 Ph: (562) 695-2282 |
| NPI Number | 1457631640 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 08/19/2011 |
| Medicare PECOS PAC ID | 6800057837 |
|---|---|
| Medicare Enrollment ID | O20120418000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457631640 | NPI | - | NPPES |
| Provider Name | Khalid B Ahmed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134193923 PECOS PAC ID: 7113913724 Enrollment ID: I20120418000317 |
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