MEDICARE: DR. JERRY JUDD PRYDE JR. MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	A060849	CA

General Provider Information

NPI Number	:	1558479147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRY JUDD PRYDE JR. MD, MPH

Provider Business Mailing Address
First Line	:	1130 S. FLOWER ST #412
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-2144
Country	:	US
Telephone Number	:	310-423-2182
Fax Number	:	213-403-4373

Provider Business Practice Location Address
First Line	:	1130 S. FLOWER ST #412
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-2144
Country	:	US
Telephone Number	:	310-423-2182
Fax Number	:	213-403-4373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	08/30/2016

Similar Medicare Providers

1578794798 — MS. ELIZABETH ANN CARIAS CDS
Practice Location Address:

520 WALL ST , #414
LOS ANGELES, CA
90013-2144

Practice Phone: 213-537-0066
Practice Fax:

1164762092 — PACIFIC CLINICS
Practice Location Address:

2144 MIDVALE AVE.
LOS ANGELES, CA
90025

Practice Phone: 310-902-2863
Practice Fax:

1366783367 — NAN YANG MR.
Practice Location Address:

2144 MIDVALE AVE
LOS ANGELES, CA
90025-5708

Practice Phone: 310-902-2863
Practice Fax:

1225676422 — MICHAEL DAVID WERNER
Practice Location Address:

1020 S SHERBOURNE DR APT 301
LOS ANGELES, CA
90035-2144

Practice Phone: 310-866-7910
Practice Fax:

1205767688 — KEORA GILL
Practice Location Address:

1625 W OLYMPIC BLVD
LOS ANGELES, CA
90015-3809

Practice Phone: 562-469-9362
Practice Fax:

1124957972 — MR. KEVIN ALEXIS PINEDA
Practice Location Address:

1605 W OLYMPIC BLVD
LOS ANGELES, CA
90015-3808

Practice Phone: 323-433-4165
Practice Fax:

Directions to “ DR. JERRY JUDD PRYDE JR. MD, MPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.