Organization
KELKER PROFESSIONAL CORPORATION
Active
Organization
KELKER PROFESSIONAL CORPORATION
Active
Other names
Lacasa Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ KELKER MD (CEO)
(310) 810-6554
Entity
Organization
Contact information
Practice address
1550 E WASHINGTON, ST 103, COLTON, CA 92324-4624
(909) 222-6990
(909) 236-5314
Mailing address
1550 E WASHINGTON ST, COLTON, CA 92324-4624
(909) 222-6990
(909) 236-5314
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
07/31/2026
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