OrganizationActive
Shangri-La Integrated Clinic
NPI 1336707553 · Clinic/Center · Centreville, VA
Shangri-La Integrated Clinic is a Clinic/Center organization in Centreville, VA (NPI 1336707553).
Provider details
- NPI number
- 1336707553
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chung DO Kim, Director(571) 218-2393
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13890 Braddock Rd Ste 300
Centreville, VA 20121-2438
Phone: (571) 655-2281
Street-level locationGet directions
Mailing address
13890 Braddock Rd Ste 300
Centreville, VA 20121-2438
Registry dates
- Enumerated
- 2019-06-03
- Last updated
- 2019-06-11
Frequently asked questions
- What is Shangri-La Integrated Clinic's NPI number?
- Shangri-La Integrated Clinic's National Provider Identifier (NPI) is 1336707553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shangri-La Integrated Clinic?
- Shangri-La Integrated Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shangri-La Integrated Clinic located?
- Shangri-La Integrated Clinic's practice location on file with NPPES is 13890 Braddock Rd Ste 300, Centreville, VA 20121-2438.
- What is Shangri-La Integrated Clinic's phone number?
- The practice phone number listed in the NPPES registry for Shangri-La Integrated Clinic is (571) 655-2281.
- Who is the authorized official for Shangri-La Integrated Clinic?
- The authorized official listed on Shangri-La Integrated Clinic's NPPES record is Chung DO Kim, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shangri-La Integrated Clinic's NPI active?
- Yes — Shangri-La Integrated Clinic's NPI (1336707553) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.