# SANTIAGO CANYON COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANTIAGO CANYON COLLEGE STUDENT HEALTH CENTER
- **Other names:** Student Health and Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386915593
- **Legal business name:** SANTIAGO CANYON COLLEGE STUDENT HEALTH CENTER
- **Authorized official:** DR. RENEE E. YOCAM MD, DO (COLLEGE PHYSICIAN)
- **Authorized official phone:** (714) 628-4773

## Contact information

- **Practice address:** 8045 EAST CHAPMAN AVE, BUILDING T - 102 STUDENT HEALTH, ORANGE, CA 92869-4773
- **Practice address phone:** (714) 628-4773
- **Practice address fax:** (714) 628-4749
- **Mailing address:** 8045 EAST CHAPMAN AVE, BUILDING T - 102 STUDENT HEALTH, ORANGE, CA 92869-4773
- **Mailing address phone:** (714) 628-4773
- **Mailing address fax:** (714) 628-4749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | PSY20612 | CA | — |
| 163W00000X | Registered Nurse | B307289 | CA | — |
| 207QA0505X | Adult Medicine Physician | Z0A8350 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 01/19/2012