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AILEEN R MATUK M.D. INC NPI 1336363316


NPI Information

NPI: 1336363316
Provider Name: AILEEN R MATUK M.D., INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2323 16TH ST
SUITE 500
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 327-8651
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AILEEN R MATUK M.D., INC is a general practice in Bakersfield, CA. AILEEN R MATUK M.D., INC NPI is 1336363316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2323 16TH ST
SUITE 500
BAKERSFIELD, CA
ZIP 93301-420
Phone: (661) 327-8651

The provider's authorized official is Aileen Matuk .
The authorized official title is Owner and has the following contact phone number (661) 327-8651.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 11/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA24584CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A245840MEDICARE PINCALIFORNIA
200A245840MEDICAIDCALIFORNIA
3757111685OTHERCALIFORNIAMEDICARE RAILROAD
4A24037MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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