Eduard Avetisyan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103419 Issued in CA

Practice address

5300 Santa Monica Blvd Ste 206
Los Angeles, CA 90029-1258

Phone

(323) 798-5271

NPI assigned

Jan 14, 2019

Last updated

Mar 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eduard Avetisyan DDS PC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1629679667
  NPD Authorized official
• Bellingham Dental Group Inc Dr Roland Yakubov

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1306187430
  NPD (past)
• Hayk Arakelyan D.D.S., Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1326493644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1053885020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291258",
            "telephone_number": "323-798-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291258",
            "telephone_number": "323-798-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "EDUARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-14",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Avery
• Michael Avesar, M.D.
• Henry Avetisian, MD
• Alina Avetisyan
• Armen Avetisyan, PA-C
• Melkon Avetisyan, DDS
• Ovik Avetisyan
• Clare Therese Aveytia, RN
• Raisa Avezova, DMD
• Avid Home Care

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.