Individual
DR. JERRY JUDD PRYDE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1130 S. FLOWER ST #412, LOS ANGELES, CA 90015-2144
(310) 423-2182
(213) 403-4373
Mailing address
1130 S. FLOWER ST #412, LOS ANGELES, CA 90015-2144
(310) 423-2182
(213) 403-4373
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A060849
CA
Other
Enumeration date
08/25/2006
Last updated
08/30/2016
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