Healthcare Provider Details

I. General information

NPI: 1447172952
Provider Name (Legal Business Name): SION AVEDIAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 N GLENDALE AVE
GLENDALE CA
91206-3758
US

IV. Provider business mailing address

8307 OWENS ST
SUNLAND CA
91040-2420
US

V. Phone/Fax

Practice location:
  • Phone: 747-758-8823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113543
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: