# KIRAN U. KOKA, M.D. - A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679598338
- **Authorized official:** KIRAN U. KOKA M.D. (PRESIDENT)
- **Authorized official phone:** (925) 934-8153

## Contact information

- **Practice address:** 49 QUAIL CT, SUITE \# 209, WALNUT CREEK, CA 94596-5550
- **Practice address phone:** (925) 674-4191
- **Practice address fax:** (925) 686-0247
- **Mailing address:** 604 TIMBERLEAF CT, WALNUT CREEK, CA 94598-5406
- **Mailing address phone:** (925) 256-1486
- **Mailing address fax:** (925) 256-1486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | A46218 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A46218 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A46218 | — | CA |
| 01 | — | A46218 | PHYSICIAN AND SURGEON | CA |