Individual provider · Type 1 NPI

Sidavanh Rena Chayanam

Student in an Organized Health Care Education/Training Program · El Dorado Hills, CA

NPI number 1548101702 Active

Practice location

1200 Lomond Dr
El Dorado Hills, CA 95762-5679

Call (503) 929-3057 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X95059659 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1548101702

Sidavanh Rena Chayanam's National Provider Identifier is 1548101702, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Dorado Hills, CA. The record was last updated on Apr 2, 2026.