Search › California › 390200000X
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
- 390200000X
390200000X
- Also registered as
- 363AM0700X
- 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