Healthcare Provider Details

I. General information

NPI: 1679464283
Provider Name (Legal Business Name): ARYA SAHABI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 S GLENDALE AVE
GLENDALE CA
91205-2315
US

IV. Provider business mailing address

609 S GLENDALE AVE
GLENDALE CA
91205-2315
US

V. Phone/Fax

Practice location:
  • Phone: 818-543-3222
  • Fax:
Mailing address:
  • Phone: 818-312-2095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number111955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: