AFAIK, it only takes a zener diode and a resistor to drive LEDs in an automotive application (or any automotive electronic device that runs on < 12V DC). The power is already rectified by the time it leaves the alternator. Worst case is that they're a bit dimmer than normal on startup.
Many car LED tail lights are actually refreshed at (I'm guessing) 30Hz or so to keep from overloading the wire - They have a distinct look to them from the low refresh rate.