Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela K Wallace, Mft

Organization Marriage & Family Therapist · NPI 1629460274

Angela K Wallace, Mft is a Marriage & Family Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

554 S San Vicente Blvd Ste 200
Los Angeles, CA 90048-4651
Phone: (323) 270-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 45450 (CA)

Record details

NPI number1629460274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Wallace — Psychotherapist · (323) 270-5437
NPI enumeratedFebruary 19, 2015
Last updated in NPPESFebruary 19, 2015
Mailing address554 S San Vicente Blvd Ste 200, Los Angeles, CA 90048-4651

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