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OHAGI SHAEED WALLACE
NPI 1396591830
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since April 25, 2024
1045 E 20TH ST, LOS ANGELES, CA 90011(213) 205-8221 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ohagi Shaeed Wallace NPPES

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

OHAGI SHAEED WALLACE (NPI 1396591830) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in (RADT-R1515000723) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1396591830
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameOHAGI SHAEED WALLACE
Location Address1045 E 20TH STLos Angeles, CA 90011-1107
Mailing Address1045 E 20th StLos Angeles, CA 90011-1107 · (213) 205-8221
Phone(213) 205-8221
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1396591830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · RADT-R1515000723
1045 E 20TH ST, Los Angeles, CA 90011
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Other Providers at the Same Location NPPES 9

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

THADDEUS CORNELIUS CARROLL
Counselor (Addiction (Substance Use Disorder))
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (213) 205-8221
ANGELA MUSISI
Counselor (Addiction (Substance Use Disorder))
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (213) 205-8221
AMDE-MICHAEL JUSTIN HABTE JR. SUDRC
Behavior Technician
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (213) 205-8221
BRANDON FLANAGAN
Behavior Technician
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (323) 614-1411
JILL RAGEE DOWNING
Marriage & Family Therapist
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (213) 205-8221
NATURAL REST HOUSE INC
Substance Abuse Rehabilitation Facility
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (310) 343-8684
WENDI BRANDENBURG
Counselor (Addiction (Substance Use Disorder))
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (213) 205-8221
AHJEALE MARIE BROWN
Counselor (Addiction (Substance Use Disorder))
1045 E 20TH ST
LOS ANGELES, CA 90011
Los Angeles County (213) 205-8221

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 Ohagi Wallace's NPI number?

The NPI number for Ohagi Wallace is 1396591830. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Ohagi Wallace located?

Ohagi Wallace practices at 1045 E 20th St, Los Angeles, CA 90011. The listed phone number is (213) 205-8221.

What is Ohagi Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ohagi Wallace was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.