| Total Body Advanced Medicine, Inc. | |
|
789 W 9th St San Pedro CA 90731-3601 | |
| (310) 519-1557 | |
| (310) 519-0330 |
| Full Name | Total Body Advanced Medicine, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 789 W 9th St, San Pedro, California |
| Authorized Official Name and Position | Nahdir Pourteymoor (CEO) |
| Authorized Official Contact | 9095493535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Body Advanced Medicine, Inc. 789 W 9th St San Pedro CA 90731-3601 Ph: (310) 519-1557 | Total Body Advanced Medicine, Inc. 789 W 9th St San Pedro CA 90731-3601 Ph: (310) 519-1557 |
| NPI Number | 1063063451 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 5597197210 |
|---|---|
| Medicare Enrollment ID | O20191119001861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063063451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Roberto Contreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316173404 PECOS PAC ID: 5597959270 Enrollment ID: I20101027000871 |
| Provider Name | Tina M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073958070 PECOS PAC ID: 6800102039 Enrollment ID: I20150902000457 |
Ramin Alizadeh Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W 25th St, San Pedro, CA 90732 Phone: 310-547-3034 Fax: 310-548-5242 | |
San Miguel Urgent Care San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W 7th St, San Pedro, CA 90731 Phone: 424-264-5630 | |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Multicare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 S Pacific Ave, Suite #201, San Pedro, CA 90731 Phone: 424-570-6960 Fax: 424-570-6952 | |
Dr Mona Shah Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 |