MEDICARE: SAM LI CHIROPRACTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	26429	CA

General Provider Information

NPI Number	:	1245401900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAM LI CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	2436 JUDAH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1436
Country	:	US
Telephone Number	:	415-682-0706
Fax Number	:	415-707-6800

Provider Business Practice Location Address
First Line	:	2436 JUDAH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1436
Country	:	US
Telephone Number	:	415-682-0706
Fax Number	:	415-707-6800

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAM S LI
Credential	:	DC
Telephone Number	:	415-682-0706

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	01/06/2025

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