Creative Clinic

General Practice Physician · Glendale, CA

Organization Active NPI

NPI number 1972301349

Practice location

800 S Central Ave Ste 301
Glendale, CA 91204-4388
Phone
(213) 905-5980

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NPI record

NPI
1972301349
Entity type
Organization (Type 2)
Enumeration date
March 3, 2025
Last updated
March 3, 2025
Certified
March 3, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Authorized official

Name
Soslan Gabaraty
Title
Owner
Phone
(213) 905-5980

About Creative Clinic

Creative Clinic is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 800 S Central Ave Ste 301, Glendale, CA 91204-4388. The NPI number 1972301349 was assigned on March 3, 2025 and the record was last updated on March 3, 2025.

The authorized official for this organization is Soslan Gabaraty, Owner.

Frequently asked questions

What is the NPI number of Creative Clinic?

The NPI number is 1972301349.

What is the phone number of Creative Clinic?

The phone number listed for the practice location is (213) 905-5980.

Where is Creative Clinic located?

800 S Central Ave Ste 301, Glendale, CA 91204-4388.

What is the taxonomy code for Creative Clinic?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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