Provider Demographics
NPI:1124186754
Name:JOYO, COLIN I (MD)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:I
Last Name:JOYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24411 HEALTH CENTER DR STE 680
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3692
Mailing Address - Country:US
Mailing Address - Phone:949-268-4568
Mailing Address - Fax:949-455-2795
Practice Address - Street 1:24411 HEALTH CENTER DR STE 680
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3692
Practice Address - Country:US
Practice Address - Phone:949-268-4568
Practice Address - Fax:949-455-2795
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47720208G00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G477200D06Medicaid
CAG47720OtherLICENSE
CA1750339479OtherGROUP NPI
CAGR002729Medicaid
CAGR002729Medicaid
CAAJ8579851OtherDEA
CA00G477200D06Medicaid