TOTAL BODY ADVANCED MEDICINE, INC. is a general practice in San Pedro, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee TOTAL BODY ADVANCED MEDICINE, INC. NPI is 1063063451. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
789 W 9TH ST
SAN PEDRO, CA
ZIP 90731-601
Phone: (310) 519-1557
Fax: (310) 519-0330
The provider's authorized official is Nahdir Pourteymoor .
The authorized official title is Ceo and has the following contact phone number (909) 549-3535.
The CLIA number assigned to this NPI record is 05D2178233 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/26/2019 and was last updated on 9/26/2019.