Healthcare Provider Details

I. General information

NPI: 1205792157
Provider Name (Legal Business Name): XIANAN LI CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24953 PASEO DE VALENCIA STE 4A
LAGUNA HILLS CA
92653-4342
US

IV. Provider business mailing address

24953 PASEO DE VALENCIA STE 4A
LAGUNA HILLS CA
92653-4342
US

V. Phone/Fax

Practice location:
  • Phone: 626-993-7166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: XIANAN LI
Title or Position: DOCTOR OF CHIROPRACTIC
Credential:
Phone: 626-993-7166