person
Vitaley Kovalev, PA-C,DO
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1750637740

Vitaley Kovalev is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Vitaley Kovalev practices in Los Angeles, CA and has the professional credentials of PA-C,DO. The NPI Number for Vitaley Kovalev is 1750637740 and holds a License No. 0010-03549 (California).

The current practice location address for Vitaley Kovalev is 10100 S San Pedro St, Los Angeles, CA and can be reached out via phone at 323-578-5451.

Location: 10100 S San Pedro St, Los Angeles, CA, 90003-4830
person
Provider Profile Details
NPI Number
1750637740
Provider Name
Vitaley Kovalev
Credential
PA-C,DO
Provider Entity Type
Individual
Gender
Male
Address
10100 S San Pedro St, Los Angeles, CA, 90003-4830
Phone Number
323-578-5451
Fax Number
Provider Enumeration Date
07/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10100 S San Pedro St
City
State
Zip
90003-4830
Phone Number
323-578-5451
Fax Number
person
Provider Business Mailing Address Details
Address
10100 S San Pedro St
City
State
Zip
90003-4830
Phone Number
323-578-5451
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0010-03549 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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