Healthcare Provider Details

I. General information

NPI: 1922464387
Provider Name (Legal Business Name): BINDI GUDHKA MA, OTR/L, SWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 AUSTIN AVE APT 101
INGLEWOOD CA
90302-3812
US

IV. Provider business mailing address

821 AUSTIN AVE APT 101
INGLEWOOD CA
90302-3812
US

V. Phone/Fax

Practice location:
  • Phone: 714-266-5442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number15808
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number15808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: