Organization
JERRY JUDD PRYDE JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JUDD PRYDE JR. MD (PRESIDENT)
(310) 423-2182
Entity
Organization
Contact information
Practice address
1130 S FLOWER ST, UNIT 412, LOS ANGELES, CA 90015-2139
(310) 423-2182
(213) 403-4373
Mailing address
1130 S FLOWER ST, UNIT 412, LOS ANGELES, CA 90015-2139
(310) 423-2182
(213) 403-4373
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A60849
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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