JERRY JUDD PRYDE JR MD PC
NPI 1407396914
Clinic/Center in Los Angeles, CA

Q: What is Jerry Judd Pryde Jr MD PC's NPI number?

The NPI number for Jerry Judd Pryde Jr MD PC is 1407396914. It was assigned to this organization in the NPPES registry on March 2, 2017.

Q: What is Jerry Judd Pryde Jr MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 02, 2017

1130 S FLOWER ST, UNIT 412, LOS ANGELES, CA 90015(310) 423-2182(213) 403-4373 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerry Judd Pryde Jr Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY JUDD PRYDE JR MD PC (NPI 1407396914) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since March 2017. The organization lists Jerry Judd Pryde, President, as its authorized official.

NPPES Registry Identity

NPI1407396914

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameJERRY JUDD PRYDE JR MD PC

Location Address1130 S FLOWER ST, UNIT 412Los Angeles, CA 90015-2139

Mailing Address1130 S Flower St, Unit 412Los Angeles, CA 90015-2139 · (310) 423-2182 · Fax (213) 403-4373

Phone(310) 423-2182

Fax(213) 403-4373

Organization SubpartNo

Authorized OfficialJerry Judd PrydePresident · (310) 423-2182

Enumeration DateMarch 2, 2017

✔ NPI 1407396914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · A60849

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1130 S FLOWER ST, Los Angeles, CA 90015

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Other Identifiers 1

Medicare UPING96316

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER PASCHAL RUGGIERI M.D.

Internal Medicine (Rheumatology)

1130 S FLOWER ST, 219
LOS ANGELES, CA 90015

Los Angeles County (805) 433-4336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Judd Pryde Jr MD PC's NPI number?

The NPI number for Jerry Judd Pryde Jr MD PC is 1407396914. It was assigned to this organization in the NPPES registry on March 2, 2017.

Where is Jerry Judd Pryde Jr MD PC located?

Jerry Judd Pryde Jr MD PC is located at 1130 S Flower St Unit 412, Los Angeles, CA 90015. The listed phone number is (310) 423-2182.

What is Jerry Judd Pryde Jr MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Judd Pryde Jr MD PC was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.