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

David Wallace

Individual provider Counselor · NPI 1114602604

David Wallace is a Counselor in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

155 Bimini Pl
Los Angeles, CA 90004-5902
Phone: (213) 388-5423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1114602604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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