| Doctor Name: | DR. DOROTHY ELLEN COMEAU |
| NPI Number: | 1366770570 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D.M.D. |
| License Number: | G78982 |
| Business Practice Address: | 21587 Encina Rd Topanga, CA - 902903523 |
| Business Phone Number: | 3104551632 |
| Business Fax Number: | 3104559352 |
| Mailing Address: | 21587 Encina Rd, TOPANGA |
| State: | CA |
| Postal Code: | 902903523 |
| Phone Number: | 3104551632 |
| Fax Number: | 3104559352 |
| NPI Enumeration Date: | 11/28/2009 |
| NPI Last Update Date: | 11/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G78982 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |