Provider Demographics
NPI:1689366106
Name:SB STAR TRANSPORTATION
Entity Type:Organization
Organization Name:SB STAR TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BEHNAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PASHMAKI
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:424-744-6913
Mailing Address - Street 1:9903 SANTA MONICA BLVD # 322
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1671
Mailing Address - Country:US
Mailing Address - Phone:424-744-6913
Mailing Address - Fax:
Practice Address - Street 1:18855 MIRANDA ST
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1333
Practice Address - Country:US
Practice Address - Phone:424-744-6913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)