Organization · Type 2 NPI
Shangri-La Integrated Clinic
Clinic/Center · Centreville, VA
NPI number
1336707553
Active
Practice location
13890 Braddock Rd Ste 300
Centreville, VA 20121-2438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: 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).
2 other providers at this address
Other clinic/center providers in Centreville
About NPI 1336707553
Shangri-La Integrated Clinic's National Provider Identifier is 1336707553, issued on Jun 3, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Centreville, VA. The record was last updated on Jun 11, 2019.