NPI
Pavillion Healthcare Services
NPI 1124163100
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-02-20
- Last updated
- 2020-08-22
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Specialties
Licenses
- License CA
- 59793A
Location
- Practice location
- 20930 Bonita St, Suite Y
- City
- Carson CA
- Postal code
- 90746-3680
- Phone
- (310) 532-3464
Organization contact
- Name
- Martin Okon
- Title
- Program Director
- Phone
- (310) 532-3464
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Carson, CA. 1,172 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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