Organization
JERRY JUDD PRYDE JR MD PC
Active
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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