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Organization
MELLOW MEDICAL INC A PROFESSIONAL CORPORATION
Active
Organization
MELLOW MEDICAL INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE GENEN MD (CEO)
(310) 892-4284
Entity
Organization
Contact information
Practice address
8235 SANTA MONICA BLVD, SUITE 300, WEST HOLLYWOOD, CA 90046-5914
(310) 892-4284
(323) 366-2966
Mailing address
8235 SANTA MONICA BLVD, SUITE 300, WEST HOLLYWOOD, CA 90046-5914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
04/14/2014
Last updated
04/22/2014
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