Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Total Body Advanced Medicine Inc

Organization General Practice Physician · NPI 1063063451

Total Body Advanced Medicine Inc provides General Practice Physician services in San Pedro, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

789 W 9th St
San Pedro, CA 90731-3601
Phone: (310) 519-1557
Fax: (310) 519-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1063063451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nahdir Pourteymoor — Ceo · (909) 549-3535
NPI enumeratedSeptember 26, 2019
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address789 W 9th St, San Pedro, CA 90731-3601

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