NPIMap

Organization Active NPI

Bespoke Treatment LLC

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1811765746
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BESPOKE TREATMENT LLC
Practice address
250 E 1St St Ste 300
Los Angeles, CA 90012-3819
Phone
(833) 867-2329
Fax
(833) 867-3757
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thi Hoang
Title
Business Office
Phone
(702) 205-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

250 E 1St St Ste 300
Los Angeles, CA 90012-3819

Mailing address

12381 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1063
Phone (833) 867-2329

National Provider Directory

National Provider Directory
Tax ID family
Bespoke Treatment LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1811765746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12381 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251063",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 1ST ST STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123819",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THI",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "702-205-8232"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.