Organization
JERRY L. MORRIS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L MORRIS M.D. (MEDICAL DOCTOR)
(714) 834-1303
Entity
Organization
Contact information
Practice address
1431 WARNER AVE STE A, TUSTIN, CA 92780-6444
(714) 834-1303
Mailing address
PO BOX 3969, TUSTIN, CA 92781-3969
(714) 542-8999
(714) 834-1022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY21078
CA
171100000X
Acupuncturist
—
—
174400000X
Specialist
A87133
CA
174400000X
Specialist
Primary
C30959
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30959
BOARD OF ORTHOPEDIC SURGEON
CA
Enumeration date
01/10/2017
Last updated
02/23/2021
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