Provider Demographics
NPI:1760276752
Name:CREATIVE PASSION PARTNERS INC.
Entity type:Organization
Organization Name:CREATIVE PASSION PARTNERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:760-405-7162
Mailing Address - Street 1:1022 N BARSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2225
Mailing Address - Country:US
Mailing Address - Phone:760-405-7162
Mailing Address - Fax:
Practice Address - Street 1:1022 N BARSTON AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2225
Practice Address - Country:US
Practice Address - Phone:760-405-7162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty