Healthcare Provider Details

I. General information

NPI: 1871327874
Provider Name (Legal Business Name): NAAPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6331 GREENLEAF AVE # 8
WHITTIER CA
90601-3553
US

IV. Provider business mailing address

6709 LA TIJERA BLVD STE 1237
LOS ANGELES CA
90045-2017
US

V. Phone/Fax

Practice location:
  • Phone: 480-262-4415
  • Fax:
Mailing address:
  • Phone: 480-262-4415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES RUSSELL WILLIAMS
Title or Position: CEO
Credential: MD
Phone: 480-262-4415