# TIMELESS MEDICINE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659742252
- **Authorized official:** DR. ROGER MIGNOSA D.O. (PRESIDENT)
- **Authorized official phone:** (714) 323-8261

## Contact information

- **Practice address:** 6751 BRIDGEWATER DR, HUNTINGTON BEACH, CA 92647-4019
- **Practice address phone:** (714) 323-8261
- **Mailing address:** 6751 BRIDGEWATER DR, HUNTINGTON BEACH, CA 92647-4019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A12464 | CA | Yes |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015