Active NPI
Time Unwind Medical Group, Inc.
- General Practice Physician
- Irvine, CA
National Provider Identifier
1194155945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A86542
- Legal business name
- TIME UNWIND MEDICAL GROUP, INC.
- Practice address
- 16460 Bake Pkwy
Irvine, CA 92618-4665 - Phone
- (949) 333-3663
- NPI assigned
- Nov 14, 2013
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- C.E.O./Owner
- Phone
- (949) 333-3663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A86542 | CA | Primary |
Addresses
Primary practice location
16460 Bake Pkwy
Irvine, CA 92618-4665
Mailing address
PO Box 54003
Irvine, CA 92619-4003
Phone (949) 333-3663
Other practice location 1
41990 Cook St Ste B202
Palm Desert, CA 92211-6101
Phone (800) 898-3736
Other names 7
- Dr. Freeze
- Dr. Neo
- Dr. Sculpt
- Dr. Veins
- Dr. Vigor
- Smooth M.D.
- Dr. Food Medical Group
National Provider Directory
National Provider DirectoryLocations
16460 Bake Pkwy
Irvine, CA 92618
Phone (800) 898-3736
41990 Cook St
Ste B202
Palm Desert, CA 92211
Phone (800) 898-3736
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Newport Beach, CA
- NPI 1689838641
NPI Registry JSON
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"
}
]
}
Other providers in Irvine, CA
- 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
- Nicole Timoti, MA BCBA
- Sue Tin
- Jeanette Elizabeth Tinoco-Garcia, B.A.
- Daisy Tint, MD
Sources for this page
- 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.