Organization
JERRY JUDD PRYDE JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY JUDD PRYDE M.D. (OWNER)
(310) 423-2182
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 915E, LOS ANGELES, CA 90048-5901
(310) 423-2182
(310) 423-0154
Mailing address
PO BOX 18796, BEVERLY HILLS, CA 90209-4796
(310) 423-2182
(310) 423-0154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A60849
CA
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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