Organization
DOUBLE BLACK BUSINESS VENTURES LLC
Active
Other names
Life Star Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MILLBURN BLACK (PRESIDENT)
(310) 702-5456
Entity
Organization
Contact information
Practice address
3535 FARQUHAR AVE STE 11, LOS ALAMITOS, CA 90720-3937
(310) 702-5456
Mailing address
3535 FARQUHAR AVE STE 11, LOS ALAMITOS, CA 90720-3937
(310) 702-5456
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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