MEDICARE: MS. DIXIE LYNN SUDHAKAR OTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA 1743	CA

General Provider Information

NPI Number	:	1700145752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIXIE LYNN SUDHAKAR OTA

Provider Business Mailing Address
First Line	:	1930 BEVERLY GLEN BLVD
Second Line	:	202
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-0257
Country	:	US
Telephone Number	:	717-475-2642
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 S BEVERLY GLEN BLVD
Second Line	:	202
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5158
Country	:	US
Telephone Number	:	717-475-2642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	05/11/2012

Similar Medicare Providers

1619450491 — ANGELA KIM NP
Practice Location Address:

1930 S BEVERLY GLEN BLVD APT 203
LOS ANGELES, CA
90025-5158

Practice Phone: 213-925-5254
Practice Fax:

1225153562 — SPENCER M FIGUEROA
Practice Location Address:

5158 VILLAGE GRN
LOS ANGELES, CA
90016-5206

Practice Phone: 310-836-1223
Practice Fax:

1366749103 — JEANNE MARIE ABBOTT PRINZIVALLI
Practice Location Address:

10642 SANTA MONICA BLVD APT 209
LOS ANGELES, CA
90025-4850

Practice Phone: 323-879-7809
Practice Fax: 323-879-3899

1336858869 — BLOSSOM WELLNESS SPA INC
Practice Location Address:

10642 SANTA MONICA BLVD APT 209
LOS ANGELES, CA
90025-4850

Practice Phone: 323-879-7809
Practice Fax: 323-879-3899

1972966802 — NINA VYAS M.D.
Practice Location Address:

11818 WILSHIRE BLVD FL 3
LOS ANGELES, CA
90025-6646

Practice Phone: 310-828-4008
Practice Fax:

1295666485 — GK INTERPRETING SERVICES INC
Practice Location Address:

1721 PURDUE AVE APT 208
LOS ANGELES, CA
90025-4264

Practice Phone: 213-492-0840
Practice Fax:

Directions to “ MS. DIXIE LYNN SUDHAKAR OTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.