Provider Demographics
NPI:1386802585
Name:SUTHERLAND, JULIET KAREN (MD)
Entity type:Individual
Prefix:DR
First Name:JULIET
Middle Name:KAREN
Last Name:SUTHERLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4990 ARLINGTON AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-2757
Mailing Address - Country:US
Mailing Address - Phone:951-343-3151
Mailing Address - Fax:951-343-3155
Practice Address - Street 1:4990 ARLINGTON AVE
Practice Address - Street 2:SUITE G
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-2757
Practice Address - Country:US
Practice Address - Phone:951-343-3151
Practice Address - Fax:951-343-3155
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89204208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation