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Organization
AILEEN R MATUK M.D., INC
Active
Organization
AILEEN R MATUK M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN MATUK M.D. (OWNER)
(661) 327-8651
Entity
Organization
Contact information
Practice address
2323 16TH ST, SUITE 500, BAKERSFIELD, CA 93301-3420
(661) 327-8651
Mailing address
2323 16TH ST, SUITE 500, BAKERSFIELD, CA 93301-3420
(661) 327-8651
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A24584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A245840
—
CA
01
—
757111685
MEDICARE RAILROAD
CA
Enumeration date
04/12/2007
Last updated
11/06/2017
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