Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1993
NPI: 1700965175
Practice Locations (1)
MELLOW MEDICAL INC A PROFESSIONAL CORPORATION
12301 WILSHIRE BLVD, SUITE 512
LOS ANGELES, CA 900251053
8886842779
Source: CMS National Downloadable File, September 2026.