Individual
KIM-MING COOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4433 FLORIN RD, SACRAMENTO, CA 95823-2527
(916) 234-2577
(916) 236-2577
Mailing address
7862 FIRST DRAW WAY, SACRAMENTO, CA 95828-5356
(916) 606-6204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
104100000X
Social Worker
ASW80999
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
04/07/2025
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