Katelin Phong

NPI 1558224303 · on the registry since 2025

Practice

Address: 818 N Mountain Ave Ste 219
Upland, CA 91786
Phone: (909) 552-0922
Fax: (909) 608-1804
Organisation at this address: Adept Inc
T.H.E. Inc
Medinova Inc
Medinova Inc
Elevated Life
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California