MEDICARE: BLACKFOX ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1922959626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLACKFOX ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	960 W 7TH ST APT 4001
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-6098
Country	:	US
Telephone Number	:	310-927-9007
Fax Number	:	310-927-9007

Provider Business Practice Location Address
First Line	:	960 W 7TH ST APT 4001
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-6098
Country	:	US
Telephone Number	:	310-927-9007
Fax Number	:	310-927-9007

Authorized Official
Title or Position	:	CEO
Name	:	MS. VALENTINA FRANKLIN
Credential	:	PMHNP
Telephone Number	:	310-927-9007

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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Directions to “BLACKFOX ENTERPRISES LLC ” Practice Location

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