SHANGRI-LA INTEGRATED CLINIC
NPI 1336707553
Clinic/Center in Centreville, VA

Active since June 03, 2019
13890 BRADDOCK RD STE 300, CENTREVILLE, VA 20121(571) 655-2281 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Jun 3, 2019 (2 updates tracked since 2019).

About Shangri-la Integrated Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANGRI-LA INTEGRATED CLINIC (NPI 1336707553) is a healthcare organization registered as a clinic/center in Centreville, Virginia and active in the NPI registry since June 2019. The organization lists Chung Do Kim, Director, as its authorized official.

NPPES Registry Identity

NPI1336707553
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHANGRI-LA INTEGRATED CLINIC
Location Address13890 BRADDOCK RD STE 300Centreville, VA 20121-2438
Mailing Address13890 Braddock Rd Ste 300Centreville, VA 20121-2438 · (571) 655-2281
Organization SubpartNo
Authorized OfficialChung Do KimDirector · (571) 218-2393
Enumeration DateJune 3, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1336707553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13890 BRADDOCK RD STE 300, Centreville, VA 20121

Other Identifiers 1

Other0121000910VA · N/a

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
13890 BRADDOCK RD STE 300
CENTREVILLE, VA 20121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shangri-La Integrated Clinic's NPI number?

The NPI number for Shangri-La Integrated Clinic is 1336707553. It was assigned to this organization in the NPPES registry on June 3, 2019.

Where is Shangri-La Integrated Clinic located?

Shangri-La Integrated Clinic is located at 13890 Braddock Rd Ste 300, Centreville, VA 20121. The listed phone number is (571) 655-2281.

What is Shangri-La Integrated Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Shangri-La Integrated Clinic was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.