Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pavillion Healthcare Services

Organization Community/Behavioral Health Agency · NPI 1124163100

Pavillion Healthcare Services is a Community/Behavioral Health Agency in Carson, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

20930 Bonita St Ste Y
Carson, CA 90746-3680
Phone: (310) 532-3464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 59793A (CA)

Record details

NPI number1124163100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Okon — Program Director · (310) 532-3464
NPI enumeratedFebruary 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address20930 Bonita St, Suite Y, Carson, CA 90746-3680

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