CREATIVE CLINIC
NPI 1972301349
General Practice in Glendale, CA

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since March 03, 2025

800 S CENTRAL AVE STE 301, GLENDALE, CA 91204(213) 905-5980 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Creative Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE CLINIC (NPI 1972301349) is a healthcare organization registered as a general practice in Glendale, California and active in the NPI registry since March 2025. The organization lists Soslan Gabaraty, Owner, as its authorized official.

NPPES Registry Identity

NPI1972301349

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCREATIVE CLINIC

Location Address800 S CENTRAL AVE STE 301Glendale, CA 91204-4388

Mailing Address800 S Central Ave Ste 301Glendale, CA 91204-4388

Phone(213) 905-5980

Organization SubpartNo

Authorized OfficialSoslan GabaratyOwner · (213) 905-5980

Enumeration DateMarch 3, 2025

NPPES CertifiedMarch 3, 2025

✔ NPI 1972301349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

800 S CENTRAL AVE STE 301, Glendale, CA 91204

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP