# MERTON SUZUKI MD INC

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

## Provider details

- **NPI number:** 1972749372
- **Authorized official:** DR. MERTON SUZUKI MD (PRESIDENT)
- **Authorized official phone:** (858) 487-6860

## Contact information

- **Practice address:** 12630 MONTE VISTA RD, SUITE 108, POWAY, CA 92064-2530
- **Practice address phone:** (858) 487-6860
- **Practice address fax:** (858) 487-4166
- **Mailing address:** 12630 MONTE VISTA RD STE 108, POWAY, CA 92064-2526
- **Mailing address phone:** (858) 487-6860
- **Mailing address fax:** (858) 487-4166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G21638 | CA | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009
