Organization
JERRY LEE MORRIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L MORRIS M.D. (PRESIDENT)
(714) 544-0505
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
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30959
STATE LICENSE
CA
Enumeration date
01/25/2011
Last updated
02/15/2019
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