Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Total Body Advanced Medicine Inc

Organization General Practice Physician · NPI 1063063451

Total Body Advanced Medicine Inc is a General Practice Physician 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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