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Organization
PAVILION HEALTHCARE SERVICES INC
Active
Organization
PAVILION HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL C EJIZU (PRESIDENT)
(310) 753-1201
Entity
Organization
Contact information
Practice address
17420 AVALON BLVD, STE 206, CARSON, CA 90746-1564
(310) 753-1201
Mailing address
17420 AVALON BLVD, STE 206, CARSON, CA 90746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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