Organization
BESPOKE PROFESSIONAL SERVICES
Active
Other names
Bespoke Professional Services, a Physician Assistant Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THI HOANG (BUSINESS OFFICE ADVOCTAE)
(702) 205-8232
Entity
Organization
Contact information
Practice address
12381 WILSHIRE BLVD BLDG STE 205, LOS ANGELES, CA 90025-1063
(833) 867-2329
(833) 867-3757
Mailing address
12381 WILSHIRE BLVD BLDG STE 205, LOS ANGELES, CA 90025-1063
(833) 867-2329
(833) 867-3757
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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