Jerry J Pryde Jr.
JERRY JUDD PRYDE JR MD PC


Address: 1130 S Flower St, Apt 412, Los Angeles, CA 90015-2144
Phone: 3104232182

Jerry J Pryde Jr. (NPI# 1558479147, PAC ID# 9335327022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1558479147
PAC ID by PECOS 9335327022
Professional Enrollment ID I20110628000734
Full Name Jerry J Pryde Jr.
Organization Legal Name JERRY JUDD PRYDE JR MD PC
Address 1130 S Flower St
Apt 412
Los Angeles
CA 90015-2144
Phone Number 3104232182
Gender M
Medical School TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Group Practice PAC ID 0446534564
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050625 CEDARS-SINAI MEDICAL CENTER

Other Locations

Address Phone Organization
1130 S Flower St, Apt 412, Los Angeles, CA 90015-2144 3104232182 JERRY JUDD PRYDE JR MD PC
1130 S Flower St, Los Angeles, CA 90015-2144 3104232182 JERRY JUDD PRYDE JR MD PC

Organization Information

Organization Legal Name JERRY JUDD PRYDE JR MD PC
Physicians 1

Office Location

Street Address 1130 S FLOWER ST
APT 412
City LOS ANGELES
State CA
Zip 90015-2144

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Thomas P Walker Nurse Practitioner Healthcare Partners Affiliates Medical Group 1025 W Olympic Blvd, Los Angeles, CA 90015-1329
Carolyn R Towler Diagnostic Radiology Healthcare Partners Affiliates Medical Group 1025 W Olympic Blvd, Los Angeles, CA 90015-1329
Chyrle C Whalen Nurse Practitioner Healthcare Partners Affiliates Medical Group 1025 W Olympic Blvd, Los Angeles, CA 90015-1329
Vinh Q Nguyen Family Practice Healthcare Partners Affiliates Medical Group 1025 W Olympic Blvd, Los Angeles, CA 90015-1329
Michael D Zeger Chiropractic 714 W Olympic Blvd, Suite 1001, Los Angeles, CA 90015-1695
Thang Phuoc Nguyen General Practice 1271 S Union Ave, Pico Union Medical, Los Angeles, CA 90015-2043
Cecilia Y Perez Optometry 1149 S Hill St, Suite 365, Los Angeles, CA 90015-2290
June M Chiang Optometry 1149 S Hill St, Suite 365, Los Angeles, CA 90015-2290
Raul Joaquin Bendana General Practice 1619 /2 W Pico Blvd, Los Angeles, CA 90015-2409
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Competitor

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City LOS ANGELES
Zip Code 90015
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty LOS ANGELES + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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