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: N

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 WILSHIRE BLVD STE 206
LOS ANGELES CA
90025-1176
US

IV. Provider business mailing address

12121 WILSHIRE BLVD STE 206
LOS ANGELES CA
90025-1176
US

V. Phone/Fax

Practice location:
  • Phone: 310-295-8066
  • Fax:
Mailing address:
  • Phone: 310-295-8066
  • 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: