Organization · Type 2 NPI

Santiago Canyon College

Adult Medicine Physician · Orange, CA

NPI number 1386915593 Active

Practice location

8045 East Chapman Ave, Building T - 102 Student Health
Orange, CA 92869-4773

Fax (714) 628-4749

Specialties and licenses

Taxonomy	Code	License
Counseling Psychologist	103TC1900X	PSY20612 (CA)
Registered Nurse	163W00000X	B307289 (CA)
Adult Medicine Physician Primary	207QA0505X	Z0A8350 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

NPI record

NPI: 1386915593
Entity type: Organization (Type 2)
Issued: Jan 19, 2012
Last updated: Jan 19, 2012
Status: Active
Subpart: Yes of Santiago Canyon College Student Health Center

Other names

<unavail>
Student Health and Wellness Center · former legal business name

Authorized official

Dr. Renee E. Yocam, MD, DO
College Physician
(714) 628-4773

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1386915593

Santiago Canyon College's National Provider Identifier is 1386915593, issued on Jan 19, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Orange, CA. The record was last updated on Jan 19, 2012.