Healthcare Provider Details

I. General information

NPI: 1740770239
Provider Name (Legal Business Name): JANET REN CHAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16236 SAN DIEGUITO RD BUILDING 4, SUITE 17
RANCHO SANTA FE CA
92091-3342
US

IV. Provider business mailing address

PO BOX 3342
RANCHO SANTA FE CA
92067-3342
US

V. Phone/Fax

Practice location:
  • Phone: 858-215-2550
  • Fax: 858-290-2089
Mailing address:
  • Phone: 858-215-2550
  • Fax: 858-290-2089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA184418
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: