Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey B Colla, MD

Individual provider Internal Medicine Physician · NPI 1619934809

Corey B Colla, MD is an Internal Medicine Physician in Lodi, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

918 S Fairmont Ave
Lodi, CA 95240-5119
Phone: (209) 366-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G40722 (CA)

Record details

NPI number1619934809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESMay 19, 2016
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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