Healthcare Provider Details

I. General information

NPI: 1447189618
Provider Name (Legal Business Name): XINRAN LI-UGALDE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12462 PUTNAM ST STE 206
WHITTIER CA
90602-1049
US

IV. Provider business mailing address

1450 LA RIATA DR
LA HABRA HEIGHTS CA
90631-8661
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0811
  • Fax:
Mailing address:
  • Phone: 562-698-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038790
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: