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Organization

SANTIAGO CANYON COLLEGE

Active
Parent organization
SANTIAGO CANYON COLLEGE STUDENT HEALTH CENTER
Other names
Student Health and Wellness Center
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

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

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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