Healthcare Provider Details

I. General information

NPI: 1366321705
Provider Name (Legal Business Name): CAROLINA AYON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12421 HESPERIA RD STE 2
VICTORVILLE CA
92395-7704
US

IV. Provider business mailing address

14680 HOPI RD
APPLE VALLEY CA
92307-3536
US

V. Phone/Fax

Practice location:
  • Phone: 760-927-4531
  • Fax:
Mailing address:
  • Phone: 323-621-2454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: