# AILEEN R MATUK M.D., INC

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

## Provider details

- **NPI number:** 1336363316
- **Authorized official:** AILEEN MATUK M.D. (OWNER)
- **Authorized official phone:** (661) 327-8651

## Contact information

- **Practice address:** 2323 16TH ST, SUITE 500, BAKERSFIELD, CA 93301-3420
- **Practice address phone:** (661) 327-8651
- **Mailing address:** 2323 16TH ST, SUITE 500, BAKERSFIELD, CA 93301-3420
- **Mailing address phone:** (661) 327-8651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A24584 | CA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 11/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A245840 | — | CA |
| 01 | — | 757111685 | MEDICARE RAILROAD | CA |