HEART SQUAD, INC.
NPI 1164619847
Clinic/Center - Medical Specialty in Manhattan Beach, CA

Active since September 26, 2007
575 29TH ST, MANHATTAN BEACH, CA 90266(310) 939-7654(310) 546-2921 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About HEART SQUAD, INC.

This page provides the complete NPI Profile along with additional information for Heart Squad, Inc., a provider established in Manhattan Beach, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1164619847 assigned on September 2007. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Robert Steven Ambrose Ph.d. (President)

NPI
1164619847 Verify this NPI
Provider Name
HEART SQUAD, INC.
Entity Type
Organization
Location Address
575 29TH ST MANHATTAN BEACH, CA 90266
Location Phone
(310) 939-7654
Location Fax
(310) 546-2921
Mailing Address
575 29TH ST MANHATTAN BEACH, CA 90266
Mailing Phone
(310) 939-7654
Mailing Fax
(310) 546-2921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2007
Last Update Date
09-26-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT STEVEN AMBROSE PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 939-7654

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164619847, enumerated as an "organization" on September 26, 2007.

The provider is located at 575 29TH ST MANHATTAN BEACH, CA 90266 and the phone number is (310) 939-7654.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.