Organization
HEART SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEVEN AMBROSE PH.D. (PRESIDENT)
(310) 939-7654
Entity
Organization
Contact information
Practice address
575 29TH ST, MANHATTAN BEACH, CA 90266-2211
(310) 939-7654
(310) 546-2921
Mailing address
575 29TH ST, MANHATTAN BEACH, CA 90266-2211
(310) 939-7654
(310) 546-2921
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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