Provider Demographics
NPI:1265592000
Name:BABAEIAN, VAHID (DDS)
Entity type:Individual
Prefix:DR
First Name:VAHID
Middle Name:
Last Name:BABAEIAN
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 1:12102 PARAMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2310
Mailing Address - Country:US
Mailing Address - Phone:562-861-7259
Mailing Address - Fax:562-861-4994
Practice Address - Street 1:12102 PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2310
Practice Address - Country:US
Practice Address - Phone:562-861-7259
Practice Address - Fax:562-861-4994
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics