Heart Squad, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HEART SQUAD, INC.

Practice address

575 29TH St
Manhattan Beach, CA 90266-2211

Phone

(310) 939-7654

Fax

(310) 546-2921

NPI assigned

Sep 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Steven Ambrose, PH.D.

Title

President

Phone

(310) 939-7654

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1164619847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 29TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662211",
            "telephone_number": "310-939-7654",
            "fax_number": "310-546-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 29TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662211",
            "telephone_number": "310-939-7654",
            "fax_number": "310-546-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-939-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sedlik Haynes, MA, LMFT
• Head 2 Toe Physical Therapy, Inc.
• Heal la LLC
• Healthfly Incorporated
• Heart Squad Inc
• Kimberly Rose Hegg, MFTI
• Courtney Alexandra Helm, AGNP-C
• Vivienne Minesa Hendricks-Clark, OTR/L
• Martha Jean Hendricks, PH.D.
• Chad Chin Seng Heng, M.D.

• Medical Specialty Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.