Organization Active NPI

Natural F&B LLC (Dba: Integrated Healthcare Clinic)

Doing business as Gangnam Integrated healthcare clinic

  • Acupuncturist
  • Centreville, VA
National Provider Identifier
1629834510
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NATURAL F&B LLC (DBA: INTEGRATED HEALTHCARE CLINIC)
Doing business as
Gangnam Integrated healthcare clinic
Integrated healthcare clinic
Practice address
13890 Braddock Rd Ste 304C
Centreville, VA 20121-2438
Phone
(703) 409-6975
NPI assigned
Feb 27, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yong Uk Pyun, L.AC., OMDNPI 1932540341
Title
Director
Phone
(703) 409-6975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

13890 Braddock Rd Ste 304C
Centreville, VA 20121-2438

Mailing address

13890 Braddock Rd Ste 304C
Centreville, VA 20121-2438
Phone (703) 409-6975

Other names 2

  • Gangnam Integrated healthcare clinic Doing business as
  • Integrated healthcare clinic Doing business as

National Provider Directory

National Provider Directory

Locations

13890 Braddock Rd
Ste 304C
Centreville, VA 20121
Phone (703) 409-6975

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1629834510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 304C",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212438",
            "telephone_number": "703-409-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 304C",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212438",
            "telephone_number": "703-409-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL F&B LLC (DBA: INTEGRATED HEALTHCARE CLINIC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "PYUN",
        "authorized_official_first_name": "YONG UK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-409-6975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC., OMD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gangnam Integrated healthcare clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gangnam Integrated healthcare clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated healthcare clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.