Organization
ICON MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR HAGE DO (PRESIDENT)
(909) 936-0600
Entity
Organization
Contact information
Practice address
350 TERRACINA BLVD, REDLANDS, CA 92373-4850
(909) 936-0600
Mailing address
1690 BARTON RD STE 106, REDLANDS, CA 92373-4230
(909) 936-0600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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