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

Individual provider Registered Dietitian · NPI 1942170311

Serey Phan, RDN is a Registered Dietitian in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

12743 Velare Ct
Victorville, CA 92392-8963
Phone: (562) 505-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 992978 (CA)

Record details

NPI number1942170311
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address12743 Velare Ct, Victorville, CA 92392-8963

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