Organization
DOUBLE BLACK BUSINESS VENTURES LLC
Active
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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