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

Ohagi Shaeed Wallace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396591830

Ohagi Shaeed Wallace is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1045 E 20th St
Los Angeles, CA 90011-1107
Phone: (213) 205-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RADT-R1515000723

Record details

NPI number1396591830
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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