1. Home
  2. Directory
  3. California
  4. Lodi
  5. Internal Medicine
  6. NPI Profile

COREY B COLLA MD
NPI 1619934809
Internal Medicine in Lodi, CA

Active since May 01, 2006
918 S FAIRMONT AVE, LODI, CA 95240(209) 366-2001 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey B Colla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY B COLLA MD (NPI 1619934809) is an individual internal medicine provider in Lodi, California, licensed in California (G40722) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619934809
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCOREY B COLLACredential: MD
Location Address918 S FAIRMONT AVELodi, CA 95240-5119
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Phone(209) 366-2001
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateMay 19, 2016
✔ NPI 1619934809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G40722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
918 S FAIRMONT AVE, Lodi, CA 95240
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA48331CA
Medicare PIN00G407221CA
Medicaid00G407220CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANGER PROSTHETICS & ORTHOTICS WEST INC
Prosthetic/Orthotic Supplier
918 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 368-9683
ZEYNA MARIA MORA
Orthotic Fitter
918 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 368-9683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Colla's NPI number?

The NPI number for Corey Colla is 1619934809. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Corey Colla located?

Corey Colla practices at 918 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 366-2001.

What is Corey Colla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Corey Colla was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.