What is David Wallace's NPI number?

David Wallace's National Provider Identifier (NPI) is 1114602604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is David Wallace's specialty?

David Wallace is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is David Wallace located?

David Wallace's practice location on file with NPPES is 155 Bimini Pl, Los Angeles, CA 90004-5902.

What is David Wallace's phone number?

The practice phone number listed in the NPPES registry for David Wallace is (213) 388-5423.

Is David Wallace's NPI active?

Yes — David Wallace's NPI (1114602604) is active in the NPPES registry as of the last update on 2023-06-21.

IndividualActive

David Wallace

NPI 1114602604 · Counselor · Los Angeles, CA

David Wallace is a Counselor provider in Los Angeles, CA (NPI 1114602604).

Provider details

NPI number: 1114602604
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

155 Bimini Pl

Los Angeles, CA 90004-5902

Phone: (213) 388-5423

Street-level locationGet directions

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Mailing address