Organization
HEART SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT AMBROSE (PRESIDENT)
(310) 939-7654
Entity
Organization
Contact information
Practice address
1601 N SEPULVEDA BLVD # 216, MANHATTAN BEACH, CA 90266-5111
(310) 939-7964
Mailing address
1601 N SEPULVEDA BLVD, SUITE #216, MANHATTAN BEACH, CA 90266-5111
(310) 939-7964
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
03/19/2016
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