Time Unwind Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A86542 Issued in CA

Legal business name

TIME UNWIND MEDICAL GROUP, INC.

Doing business as

Dr. Freeze
Dr. Neo
Dr. Sculpt3 more in Other names

Practice address

16460 Bake Pkwy
Irvine, CA 92618-4665

Phone

(949) 333-3663

NPI assigned

Nov 14, 2013

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raihan U. Haque, M.D.NPI 1649435199

Title

C.E.O./Owner

Phone

(949) 333-3663

Specialties & licenses 1

Addresses

Other names 7

• Dr. Freeze Doing business as
• Dr. Neo Doing business as
• Dr. Sculpt Doing business as
• Dr. Veins Doing business as
• Dr. Vigor Doing business as
• Smooth M.D. Doing business as
• Dr. Food Medical Group Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raihan U. Haque, M.D.

  • General Practice Physician
  • Irvine, CA
  • NPI 1649435199
  Authorized official Same address or phone
• Dilruba Nisar Haque, M.D.

  • Hematology & Oncology Physician
  • Newport Beach, CA
  • NPI 1689838641
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1194155945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54003",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926194003",
            "telephone_number": "949-333-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16460 BAKE PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184665",
            "telephone_number": "949-333-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41990 Cook St Ste B202",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116101",
            "country_code": "US",
            "telephone_number": "800-898-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIME UNWIND MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "RAIHAN",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "C.E.O./OWNER",
        "authorized_official_telephone_number": "949-333-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A86542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Freeze",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Neo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Neo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Sculpt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Veins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Vigor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smooth M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Food Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tiffany Dawn Wilson, M.D., Inc.
• Tiffany Dawn Wilson, M.D., Inc.
• Tiffany Wilson, M.D. & Kelly Wong, M.D.
• Kendall Lamar Tillman I
• Natalie Christine Timbrook
• Timothy R Twombly DC & Kenneth D Erickson DC a Chiropractic Corp (Irvine Spine and Sport)
• Nicole Timoti, MA BCBA
• Sue Tin
• Jeanette Elizabeth Tinoco-Garcia, B.A.
• Daisy Tint, MD

• General Practice Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.