Dorothy Ellen Comeau, PH.D.M.D.
Individual provider Active NPI General Practice Physician · Topanga, CA
NPI 1366770570 · NPPES record last updated Nov 28, 2009
Key facts
- NPI
- 1366770570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- G78982 (CA)
- Practice address
- 21587 Encina Rd
Topanga, CA 90290-3523 - Phone
- (310) 455-1632
- Fax
- (310) 455-9352
- NPI assigned
- Nov 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G78982 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid City Indian Health Service Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G78982 | CA | Yes |
Addresses
Primary practice location
21587 Encina Rd
Topanga, CA 90290-3523
Mailing address
21587 Encina Rd
Topanga, CA 90290-3523
Phone (310) 455-1632
Other providers in Topanga, CA
- BPD Physical Therapy Inc
- Dominique Bressi
- Jaimi B Brooks
- Christine A Brown
- Kristin Brumfield
- Anna C Corson
- Alexandra Decleene
- Stacy Depue
- Destinations to Recovery LLC
- Destinations to Recovery LLC
All providers in Topanga, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.