| Organization Name: | AILEEN RUTH MATUK M.D., INC |
| NPI Number: | 1336363316 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AILEEN MATUK (OWNER) |
| Mailing Address: | 2323 16th St Suite 500 Bakersfield |
| State: | CA US |
| Postal Code: | 933013420 |
| Phone Number: | 6613278651 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A24584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |