Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Clinic

Organization General Practice Physician · NPI 1972301349

Creative Clinic is a General Practice Physician in Glendale, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

800 S Central Ave Ste 301
Glendale, CA 91204-4388
Phone: (213) 905-5980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1972301349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soslan Gabaraty — Owner · (213) 905-5980
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address800 S Central Ave Ste 301, Glendale, CA 91204-4388

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