Reginald Chinaedu Ajakwe
Medical Specialty
Professional ID
- NPI: 1467485730
- PECOS ID: 5799781209
- Enrollment ID: I20061005000532
- Credential(MD, DO, DPM): MD
- Medical School: University Of California San Diego School Of Medicine
- Medical School Graduation Year: 2002
Hospital Service
- Hospital CCN1: 050235
- Business Name (LBN)1: Providence Saint Joseph Medical Ctr
- Hospital CCN2: 050239
- Business Name (LBN)2: Glendale Adventist Medical Center
Medical Practices
- Organization Name: R Ajakwe Md And R Tatevossian Md A Professional Medical Corporation
- Group Practice ID assigned by PECOS: 3173744604
- Number of Group Practice member: 3
Location
- Address1: 201 S Buena Vista St
- Address2: Suite 238
- City: Burbank
- State: California
- Zip Code: 91505
- Phone Number: (818)325-2088
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):