Eduard Avetisyan DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDUARD AVETISYAN DDS PC

Practice address

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

Phone

(323) 798-5271

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eduard Avetisyan, DDSNPI 1053885020

Title

Dentist

Phone

(323) 798-5271

Specialties & licenses 1

Addresses

Other names 1

• Eduard Avetisyan DDS INC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduard Avetisyan, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1053885020
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743292800000",
    "number": "1629679667",
    "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": {
        "organization_name": "EDUARD AVETISYAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-798-5271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eduard Avetisyan DDS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Eduard Avetisyan DDS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elham Edrisi
• Joelle Karin Edry
• Heidi Liese Liese Edsall, LMFT
• Ingrid Edshteyn, D.O.
• Rachel Madrid Edu, RN
• Eduard Dudukgian M.D., a Professional Co
• Eduard Minas MD Inc
• Eduardo O Lim Medical Corporation
• Moses O Edun
• Joy L Edvalson, NP

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry 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.