Organization
NORTHSTAR TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY I WOOLEY (MANAGER)
(323) 551-8355
Entity
Organization
Contact information
Practice address
360 E 2ND ST, LOS ANGELES, CA 90012-4238
(323) 921-5074
Mailing address
360 E 2ND ST, LOS ANGELES, CA 90012-4238
(323) 921-5074
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6391873
DRIVER LICENSE
CA
Enumeration date
03/07/2021
Last updated
03/07/2021
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