| Organization Name: | FOSTER CITY MEDICAL CENTER |
| NPI Number: | 1255731980 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAJAN DAVE (CEO) |
| Mailing Address: | 1241 E Hillsdale Blvd Suite 270 Foster City |
| State: | CA US |
| Postal Code: | 944041241 |
| Phone Number: | 6509185080 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2014 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A125461 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |