Provider Demographics
NPI:1154680296
Name:BADII, AFSHIN (DDS)
Entity type:Individual
Prefix:DR
First Name:AFSHIN
Middle Name:
Last Name:BADII
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11980 SAN VICENTE BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-6607
Mailing Address - Country:US
Mailing Address - Phone:310-979-2160
Mailing Address - Fax:310-979-2161
Practice Address - Street 1:11980 SAN VICENTE BLVD STE 900
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-6607
Practice Address - Country:US
Practice Address - Phone:310-979-2160
Practice Address - Fax:310-979-2161
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA652491223E0200X, 1223E0200X
CT107451223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics