# SAMIR E. HAGE, D.O., INC.

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

## Provider details

- **NPI number:** 1811184179
- **Authorized official:** DR. SAMIR HAGE D.O. (PRESIDENT)
- **Authorized official phone:** (909) 748-6065

## Contact information

- **Practice address:** 255 TERRACINA BLVD, SUITE 202, REDLANDS, CA 92373-4870
- **Practice address phone:** (909) 748-6065
- **Practice address fax:** (909) 748-6095
- **Mailing address:** 255 TERRACINA BLVD, SUITE 202, REDLANDS, CA 92373-4870
- **Mailing address phone:** (909) 748-6065
- **Mailing address fax:** (909) 748-6095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/01/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00AX72330 | — | CA |