Organization
KELKER MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ KELKER MD (MD/CEO)
(714) 330-1844
Entity
Organization
Contact information
Practice address
160 E ARTESIA ST STE 310, POMONA, CA 91767-2922
(174) 330-1844
Mailing address
PO BOX 17062, ANAHEIM, CA 92817-7062
(714) 330-1844
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125913
MEDICAL LICENSE
CA
Enumeration date
04/26/2018
Last updated
10/23/2019
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