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DAVID WALLACE
NPI 1114602604
Counselor in Los Angeles, CA

Active since June 21, 2023
155 BIMINI PL, LOS ANGELES, CA 90004(213) 388-5423 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Wallace NPPES

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

DAVID WALLACE (NPI 1114602604) is an individual counselor in Los Angeles, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1114602604
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDAVID WALLACE
Location Address155 BIMINI PLLos Angeles, CA 90004-5902
Mailing Address155 Bimini PlLos Angeles, CA 90004-5902 · (213) 388-5423
Phone(213) 388-5423
Sole ProprietorYes
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1114602604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
155 BIMINI PL, Los Angeles, CA 90004
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANGELA SOLIS SUDCR#16758
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
ELDA NALLELI ROCHA
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
AMANDA LAFFERRE
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
EFREM LOUIS REED
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
ADRIAN ENRIQUE CACERES
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 281-1408
ADRIAN STEPHEN PARDO
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
SAUL CAMPOS
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
RILIND MCNAMARA
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wallace's NPI number?

The NPI number for David Wallace is 1114602604. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is David Wallace located?

David Wallace practices at 155 Bimini Pl, Los Angeles, CA 90004. The listed phone number is (213) 388-5423.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.