Organization
BESPOKE TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THI HOANG (BUSINESS OFFICE REPRESENTATIVE)
(702) 205-8232
Entity
Organization
Contact information
Practice address
12381 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90025-1063
(833) 867-2329
Mailing address
12381 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90025-1063
(833) 867-2329
(833) 867-3757
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/04/2020
Last updated
12/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up