Chris and Glorias Space LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHRIS AND GLORIAS SPACE LLC

Practice address

1055 E Colorado Blvd Ste 5198
Pasadena, CA 91106-2327

Phone

(818) 818-3617

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Ruffin, LCSWNPI 1376970988

Title

President

Phone

(818) 818-3617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Omar Ruffin, MSW, ACSW

  • Clinical Social Worker
  • Van Nuys, CA
  • NPI 1376970988
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1689287948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13627 SHERMAN WAY APT 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052803",
            "telephone_number": "818-818-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 5198",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062327",
            "telephone_number": "818-818-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS AND GLORIAS SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "RUFFIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-818-3617",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Chow
• Choy-Unruh Chiropractic, Inc.
• Tiffany W. Choy-Unruh, D.C.
• Martin Galen Choy, D.C.
• Simon Kyuseok Choyee, D.D.S.
• Timothy N. Chrisney, PHARMD
• Ana Christian
• Stratos Christianakis, M.D.
• Christine K. Won, MD, a California Medical Corporation
• Christine L Triano a Licensed Clinical Social Worker Corporation

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.