Individual
MR. RUSSELL GORDON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
5901 E 7TH ST, BLDG 150 RM V33 PROSTHETICS, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5525 E PACIFIC COAST HWY, #212, LONG BEACH, CA 90804-4445
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO02063
AMERICAN BOARD O&P
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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