Individual
JOHN RUSSELL GORNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
665 CAMINO DE LOS MARES, SUITE 203A, SAN CLEMENTE, CA 92673-2859
(949) 661-3101
(949) 661-2865
Mailing address
665 CAMINO DE LOS MARES, SUITE 203A, SAN CLEMENTE, CA 92673-2859
(949) 661-3101
(949) 661-2865
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G12635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953607067
TAX ID
CA
05
—
OOG126350
—
CA
Enumeration date
02/19/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us