MEDICARE: DION BANOIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A204396	CA
2	207R00000X	Internal Medicine Physician	CS40420	NV
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1265176879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DION BANOIAN MD

Provider Business Mailing Address
First Line	:	1635 RAMONA AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-2018
Country	:	US
Telephone Number	:	818-926-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	3808 W RIVERSIDE DR STE 120
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4339
Country	:	US
Telephone Number	:	818-246-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	12/30/2025

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