| Doctor Name: | LARRY QUENTIN SUTTERBY |
| NPI Number: | 1295941789 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G-039043 |
| Business Practice Address: | 1408 Spazier Ave Glendale, CA - 912011152 |
| Business Phone Number: | 8188488209 |
| Business Fax Number: | |
| Mailing Address: | 311 S Spring St, LOS ANGELES |
| State: | CA |
| Postal Code: | 900131211 |
| Phone Number: | 2135761325 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G-039043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |