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

Dejuanna Wallace

Individual provider Case Manager/Care Coordinator · NPI 1528411287

Dejuanna Wallace is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

11303 W Washington Blvd
Los Angeles, CA 90066
Phone: (213) 738-3474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1528411287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESMay 16, 2018

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