| NPI | 1013453349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L MORRIS Medical Doctor 714-834-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA C30959) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21078) |
| 171100000X Acupuncturist | |
| 174400000X Specialist (Licence: CA A87133) | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2021-02-23 |