SearchCaliforniaStudent in an Organized Health Care Education/Training Program

Vitaley Kovalev, PA-C, DO

NPI 1750637740 · on the registry since 2012 · sole proprietor

Practice

Address
10100 S San Pedro St
Los Angeles, CA 90003
Phone
(323) 578-5451

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Medical Physician Assistant
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California