Organization
JERRY JUDD PRYDE JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY JUDD PRYDE JR. M.D. (OWNER)
(310) 423-2182
Entity
Organization
Contact information
Practice address
8631 WEST 3RD STREET, 915E, LOS ANGELES, CA 90048-6101
(310) 423-2182
(310) 423-0154
Mailing address
8631 WEST 3RD STREET, SUITE 915E, LOS ANGELES, CA 90048-6101
(310) 423-2182
(310) 423-0154
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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