MEDICARE: BRIDGELINE GLOBAL LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	163W00000X	Registered Nurse
3	171M00000X	Case Manager/Care Coordinator
4	172V00000X	Community Health Worker
5	174200000X	Meals Provider
6	246RP1900X	Phlebotomy Technician
7	251C00000X	Developmentally Disabled Services Day Training Agency
8	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
9	320700000X	Physical Disabilities Residential Treatment Facility
10	320800000X	Mental Illness Community Based Residential Treatment Facility
11	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
12	3245S0500X	Children's Substance Abuse Rehabilitation Facility
13	373H00000X	Day Training/Habilitation Specialist
14	376K00000X	Nurse's Aide
15	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1659203867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGELINE GLOBAL LLC

Provider Business Mailing Address
First Line	:	643 S OLIVE ST STE 609
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90014-3603
Country	:	US
Telephone Number	:	213-259-9985
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 W 121ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-2920
Country	:	US
Telephone Number	:	213-259-9985
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	KRISTEN FIELDS
Credential	:
Telephone Number	:	213-259-9985

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “BRIDGELINE GLOBAL LLC ” Practice Location

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