Organization Active NPI

Eduard Dudukgian M.D., a Professional Co

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1598398539
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EDUARD DUDUKGIAN M.D., A PROFESSIONAL CO
Practice address
1300 N Vermont Ave Ste 601
Los Angeles, CA 90027-6088
Phone
(323) 644-4904
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Eduard Dudukgian
Title
Owner
Phone
(323) 644-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 601
Los Angeles, CA 90027-6088

Mailing address

1300 N Vermont Ave Ste 601
Los Angeles, CA 90027-6088
Phone (323) 644-4904

National Provider Directory

National Provider Directory

Locations

1300 N Vermont Ave
Ste 601
Los Angeles, CA 90027
Phone (323) 644-4904

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1598398539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 601",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276088",
            "telephone_number": "323-644-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 601",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276088",
            "telephone_number": "323-644-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARD DUDUKGIAN M.D., A PROFESSIONAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DUDUKGIAN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-644-4904"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.