Organization
JOHN R GORNY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R GORNY MD (DOCTOR)
(949) 661-3101
Entity
Organization
Contact information
Practice address
665 CAMINO DE LOS MARES, 203A, SAN CLEMENTE, CA 92673-2859
(949) 661-3101
(949) 661-2865
Mailing address
665 CAMINO DE LOS MARES, 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
05
—
00G126350
—
CA
Enumeration date
06/11/2008
Last updated
03/07/2023
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