Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Judd Pryde Jr MD PC

Organization Clinic/Center · NPI 1407396914

Jerry Judd Pryde Jr MD PC is a Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 S Flower St Unit 412
Los Angeles, CA 90015-2139
Phone: (310) 423-2182
Fax: (213) 403-4373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence A60849 (CA)

Record details

NPI number1407396914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Pryde — President · (310) 423-2182
NPI enumeratedMarch 2, 2017
Last updated in NPPESMarch 2, 2017
Mailing address1130 S Flower St, Unit 412, Los Angeles, CA 90015-2139

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