Utudjian DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

UTUDJIAN DDS INC

Doing business as

Eagle Rock Orthodontics

Practice address

2244 Fair Park Ave
Los Angeles, CA 90041-1910

Phone

(818) 434-6060

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Garen Utudjian, DDSNPI 1285933119

Title

Ceo

Phone

(818) 434-6060

Specialties & licenses 1

Addresses

Other names 1

• Eagle Rock Orthodontics Doing business as

Tax ID family

Eagle Rock Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Utudjian DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1841016128
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garen Utudjian, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1285933119
  NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1285454132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N BUENA VISTA ST UNIT 415",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043385",
            "telephone_number": "818-434-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 FAIR PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411910",
            "telephone_number": "818-434-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTUDJIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "UTUDJIAN",
        "authorized_official_first_name": "GAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-434-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Rock Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prach Uthayo, MD
• Uti-Ehrlich Medical Group
• Utibe Effiom DDS, Inc. (Leimert Dental Practice of Utibe Effiom DDS, Inc.)
• Monica Utom
• Ponphen Uttayaya, OD
• Utudjian DDS Inc
• Garen Utudjian, D.D.S.
• Nicholas Hearle Utvich
• Dulce Uvillada
• Aileen Uy-Gurango, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.