# JERRY LEE MORRIS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346545134
- **Authorized official:** JERRY L MORRIS M.D. (PRESIDENT)
- **Authorized official phone:** (714) 544-0505

## Contact information

- **Practice address:** 1431 WARNER AVE STE A, TUSTIN, CA 92780-6444
- **Practice address phone:** (714) 834-1303
- **Mailing address:** PO BOX 3969, TUSTIN, CA 92781-3969
- **Mailing address phone:** (714) 542-8999
- **Mailing address fax:** (714) 834-1022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 02/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C30959 | STATE LICENSE | CA |