SHANGRI-LA INTEGRATED CLINIC – Clinic/Center, NPI 1336707553

SHANGRI-LA INTEGRATED CLINIC is a healthcare provider. based in Centreville, Virginia. specializing in Clinic/Center. The NPI Number for SHANGRI-LA INTEGRATED CLINIC is 1336707553

Main info

Organization
Name
SHANGRI-LA INTEGRATED CLINIC
NPI
1336707553
Phone
(571) 655-2281
Address
13890 BRADDOCK RD STE 300
Authorized Official
CHUNG DO KIM DIRECTOR
Enumeration Date
3 June 2019
Last Update Date
11 June 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for SHANGRI-LA INTEGRATED CLINIC

  • Braddock Road, Centreville, Fairfax County, Virginia, 20124, United States

    CENTREVILLE, VA 201212438

    Phone: (571) 655-2281

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20121)

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Reviews

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Frequently asked questions

How do payers reference SHANGRI-LA INTEGRATED CLINIC?
For SHANGRI-LA INTEGRATED CLINIC, use NPI 1336707553 as the unique 10-digit identifier.
Active or inactive — what applies to SHANGRI-LA INTEGRATED CLINIC?
You should see SHANGRI-LA INTEGRATED CLINIC as active in CMS-hosted NPPES data.
What expertise is attributed to SHANGRI-LA INTEGRATED CLINIC?
SHANGRI-LA INTEGRATED CLINIC's specialty line reads Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Virginia is SHANGRI-LA INTEGRATED CLINIC registered?
Use Centreville, Virginia as the headline location for SHANGRI-LA INTEGRATED CLINIC here.
Does SHANGRI-LA INTEGRATED CLINIC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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