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

Mr. Matthew David Hall, R1557560424

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417799321

Mr. Matthew David Hall, R1557560424 is an Addiction (Substance Use Disorder) Counselor in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

503 Ocean Frnt Walk
Venice, CA 90291-2403
Phone: (310) 392-3070
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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 R1557560424 (CA)

Record details

NPI number1417799321
Entity typeIndividual (Type 1)
GenderMale
Credentials R1557560424
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

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