Garen Utudjian, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

62362 Issued in CA

Practice address

2244 Fair Park Ave
Los Angeles, CA 90041-1910

Phone

(213) 619-0619

NPI assigned

Mar 17, 2011

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)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gutudjian@direct.westerndental.com

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

• Utudjian DDS Inc

  dba Eagle Rock Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1285454132
  NPD Authorized official
• Utudjian DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1841016128
  NPD Authorized official
• Peter Brenn DDS PC

  dba Brenn Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burbank, CA
  • NPI 1013605963
  NPD (past)

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1285933119",
    "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": "213-619-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTUDJIAN",
        "first_name": "GAREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utibe Effiom DDS, Inc. (Leimert Dental Practice of Utibe Effiom DDS, Inc.)
• Monica Utom
• Ponphen Uttayaya, OD
• Utudjian DDS Inc (Eagle Rock Orthodontics)
• Utudjian DDS Inc
• Nicholas Hearle Utvich
• Dulce Uvillada
• Aileen Uy-Gurango, LCSW
• Jane Monica Uy, CASE MANAGER
• Jeffrey C Uy, MD

• 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 Jan 22, 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.