MEDICARE: ARYA SAHABI DDS

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	122300000X	Dentist	111955	CA

General Provider Information

NPI Number	:	1679464283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARYA SAHABI DDS

Provider Business Mailing Address
First Line	:	609 S GLENDALE AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-2315
Country	:	US
Telephone Number	:	818-312-2095
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 S GLENDALE AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-2315
Country	:	US
Telephone Number	:	818-543-3222
Fax Number	:

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

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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Directions to “ ARYA SAHABI DDS” Practice Location

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