Heart Squad Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

HEART SQUAD INC

Practice address

1601 N Sepulveda Blvd # 216
Manhattan Beach, CA 90266-5111

Phone

(310) 939-7964

NPI assigned

Nov 20, 2013

Last updated

Mar 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ambrose

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": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458345600000",
    "number": "1750711214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N SEPULVEDA BLVD",
            "address_2": "SUITE #216",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665111",
            "telephone_number": "310-939-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N SEPULVEDA BLVD # 216",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665111",
            "telephone_number": "310-939-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2016-03-19",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-939-7654",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene L. Hawkins, M.D.
• Sara Sedlik Haynes, MA, LMFT
• Head 2 Toe Physical Therapy, Inc. (Head 2 Toe Physical Therapy)
• 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.

• Physiological Laboratory in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.