BRIDGEWAY 360 LLC NPI 1376354092

NPI Information

NPI: 1376354092
Provider Name: BRIDGEWAY 360 LLC
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
:
Address: 3111 LOS FELIZ BLVD
LOS ANGELES, CA
ZIP 90039
Phone: (347) 791-5955

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NPI Details

BRIDGEWAY 360 LLC is a rehabilitation substance use disorder unit in Los Angeles, CA. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) BRIDGEWAY 360 LLC NPI is 1376354092. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3111 LOS FELIZ BLVD
LOS ANGELES, CA
ZIP 90039-519
Phone: (347) 791-5955

The provider's authorized official is Rayma N Garraway-amadi .
The authorized official title is Ceo and has the following contact phone number (347) 791-5595.

The enumeration date for this NPI number is 1/14/2025 and was last updated on 7/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	251B00000X	Case Management	No
2	251V00000X	Voluntary or Charitable	No
3	276400000X	Rehabilitation, Substance Use Disorder Unit	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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